| Mohammad Abul Fielat Dds Inc | |
|
16946 Marygold Ave Ste #101 Fontana CA 92335 | |
| (909) 355-0385 | |
| (909) 355-0585 |
| Full Name | Mohammad Abul Fielat Dds Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 16946 Marygold Ave, Fontana, California |
| Authorized Official Name and Position | Mohamad G Abul Fielat (OWNER) |
| Authorized Official Contact | 9093550385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad Abul Fielat Dds Inc 9193 Sierra Ave Suite B Fontana CA 92335 Ph: (909) 355-0385 | Mohammad Abul Fielat Dds Inc 16946 Marygold Ave Ste #101 Fontana CA 92335 Ph: (909) 355-0385 |
| NPI Number | 1316150964 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 02/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316150964 | NPI | - | NPPES |
| 60543 | Other | SAFEGUARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | CA43302 (California) | Primary |
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