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1515 W Shaw Ave Ste 101 Fresno CA 93711-3514 | |
| (559) 227-1700 | |
| (559) 227-0767 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1515 W Shaw Ave Ste 101, Fresno, California |
| Authorized Official Name and Position | Nabeel Awad Joseph (PRESIDENT) |
| Authorized Official Contact | 5592271700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1515 W Shaw Ave Ste 101 Fresno CA 93711-3514 Ph: (559) 227-1700 | 1515 W Shaw Ave Ste 101 Fresno CA 93711-3514 Ph: (559) 227-1700 |
| NPI Number | 1437455722 |
|---|---|
| Provider Enumeration Date | 02/03/2011 |
| Last Update Date | 02/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437455722 | NPI | - | NPPES |
| G92279-01 | Medicaid | CA |
| 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 |