| St.georgefamilydental | |
|
1515 W Shaw Ave Fresno CA 93711-3514 | |
| (559) 227-1700 | |
| (559) 227-0767 |
| Full Name | St.georgefamilydental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1515 W Shaw Ave, Fresno, California |
| Authorized Official Name and Position | Nabeel Awad Joseph (OWNER) |
| Authorized Official Contact | 5592271700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St.georgefamilydental 1515 W Shaw Ave Fresno CA 93711-3514 Ph: (559) 227-1700 | St.georgefamilydental 1515 W Shaw Ave Fresno CA 93711-3514 Ph: (559) 227-1700 |
| NPI Number | 1730385360 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730385360 | NPI | - | NPPES |
| G92279 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42406 (California) | Primary |
Raji Haddad D.d.s. Inc. Dba First Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 W Shaw Ave, Fresno, CA 93704 Phone: 559-229-8200 | |
Kamal Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6319 N Fresno St Ste 101, Fresno, CA 93710 Phone: 559-438-6177 |