| Shiro Ego, Dds, Inc. | |
|
373 E Warner Ave, Suite 101 Fresno CA 93710-3741 | |
| (559) 437-0553 | |
| (559) 437-0563 |
| Full Name | Shiro Ego, Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 373 E Warner Ave,, Fresno, California |
| Authorized Official Name and Position | Tamie Ego (PRESIDENT) |
| Authorized Official Contact | 5594370553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shiro Ego, Dds, Inc. 373 E. Warner Ave., Suite 101 Fresno CA 93710-3710 Ph: (559) 437-0553 | Shiro Ego, Dds, Inc. 373 E Warner Ave, Suite 101 Fresno CA 93710-3741 Ph: (559) 437-0553 |
| NPI Number | 1841405735 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 12/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841405735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38274 (California) | Primary |
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