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7090 N Cedar Ave Fresno CA 93720-3300 | |
| (559) 324-9494 | |
| (559) 324-9472 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7090 N Cedar Ave, Fresno, California |
| Authorized Official Name and Position | Giai V Pham (PRESIDENT) |
| Authorized Official Contact | 5593249494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7090 N Cedar Ave Fresno CA 93720-3300 Ph: (559) 324-9494 | 7090 N Cedar Ave Fresno CA 93720-3300 Ph: (559) 324-9494 |
| NPI Number | 1639201221 |
|---|---|
| Provider Enumeration Date | 03/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639201221 | NPI | - | NPPES |
| G9319901 | Other | CA | DENTI-CAL BILLING NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50089 (California) | Primary |
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