| Mohamad Abul-fielat Dds | |
|
3564 Van Buren Blvd Riverside CA 92503-4214 | |
| (951) 688-5437 | |
| (951) 688-5434 |
| Full Name | Mohamad Abul-fielat Dds |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3564 Van Buren Blvd, Riverside, California |
| Authorized Official Name and Position | Mohamad Abul Fielat (OWNER) |
| Authorized Official Contact | 9516885437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohamad Abul-fielat Dds 3564 Van Buren Blvd Riverside CA 92503 Ph: (951) 688-5437 | Mohamad Abul-fielat Dds 3564 Van Buren Blvd Riverside CA 92503-4214 Ph: (951) 688-5437 |
| NPI Number | 1063532802 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 03/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063532802 | NPI | - | NPPES |
| G9225201 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 43302 (California) | Primary |
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