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 |
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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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