| Mohammad Abul Fielat Dds Inc | |
|
1195 Magnolia Ave Corona CA 92879 | |
| (951) 339-3005 | |
| (951) 793-7723 |
| Full Name | Mohammad Abul Fielat Dds Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1195 Magnolia Ave, Corona, California |
| Authorized Official Name and Position | Mohamad G Abul-fielat (OWNER) |
| Authorized Official Contact | 9516885437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad Abul Fielat Dds Inc 1358 W 6th Street Ste #102 Corona CA 92882 Ph: (951) 739-7970 | Mohammad Abul Fielat Dds Inc 1195 Magnolia Ave Corona CA 92879 Ph: (951) 339-3005 |
| NPI Number | 1164657268 |
|---|---|
| Provider Enumeration Date | 05/19/2009 |
| Last Update Date | 05/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164657268 | NPI | - | NPPES |
| 1063532802 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D43302 (California) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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