Mohammad Abul Fielat Dds Inc | |
1195 Magnolia Ave Corona CA 92879 | |
(951) 339-3005 | |
(951) 793-7723 |
Full Name | Mohammad Abul Fielat Dds Inc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 1195 Magnolia Ave, Corona, California |
Authorized Official Name and Position | Mohamad G Abul-fielat (OWNER) |
Authorized Official Contact | 9516885437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mohammad Abul Fielat Dds Inc 1358 W 6th Street Ste #102 Corona CA 92882 Ph: (951) 739-7970 | Mohammad Abul Fielat Dds Inc 1195 Magnolia Ave Corona CA 92879 Ph: (951) 339-3005 |
NPI Number | 1164657268 |
---|---|
Provider Enumeration Date | 05/19/2009 |
Last Update Date | 05/06/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164657268 | NPI | - | NPPES |
1063532802 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | D43302 (California) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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