| |
6623 N Riverside Dr Suite 101 Fresno CA 93722-9308 | |
(559) 547-3120 | |
(559) 547-3110 |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 6623 N Riverside Dr, Fresno, California |
Authorized Official Name and Position | Carolyn G Ghazal (OWNER) |
Authorized Official Contact | 5595473120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | 6623 N Riverside Dr Suite 101 Fresno CA 93722-9308 Ph: (559) 547-3120 |
NPI Number | 1558769638 |
---|---|
Provider Enumeration Date | 12/05/2014 |
Last Update Date | 12/05/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558769638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Raji Haddad D.d.s. Inc. Dba First Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 W Shaw Ave, Fresno, CA 93704 Phone: 559-229-8200 | |
Kamal Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6319 N Fresno St Ste 101, Fresno, CA 93710 Phone: 559-438-6177 |