| Mohammad Abul-fielat Dds Inc | |
|
14275 Pipeline Ave. Chino CA 91710-5639 | |
| (909) 613-1144 | |
| (909) 613-0448 |
| Full Name | Mohammad Abul-fielat Dds Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 14275 Pipeline Ave., Chino, California |
| Authorized Official Name and Position | Mohammad Ghazi Abul-fielat (OWNER) |
| Authorized Official Contact | 9096131144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad Abul-fielat Dds Inc 14275 Pipeline Ave. Chino CA 91710-5639 Ph: (909) 613-1144 | Mohammad Abul-fielat Dds Inc 14275 Pipeline Ave. Chino CA 91710-5639 Ph: (909) 613-1144 |
| NPI Number | 1881817328 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881817328 | NPI | - | NPPES |
| B4330201 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 43302 (California) | Primary |
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