Shahram Shidmand Dds Inc | |
1211 N Del Mar Ave Fresno CA 93728-1958 | |
(559) 497-8300 | |
(559) 497-1501 |
Full Name | Shahram Shidmand Dds Inc |
---|---|
Speciality | Dentist - General Practice |
Location | 1211 N Del Mar Ave, Fresno, California |
Authorized Official Name and Position | Sean Shidmand (PRESIDENT) |
Authorized Official Contact | 5594798300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shahram Shidmand Dds Inc 1211 N Del Mar Ave Fresno CA 93728-1958 Ph: (559) 497-8300 | Shahram Shidmand Dds Inc 1211 N Del Mar Ave Fresno CA 93728-1958 Ph: (559) 497-8300 |
NPI Number | 1073720504 |
---|---|
Provider Enumeration Date | 05/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073720504 | NPI | - | NPPES |
G92364-01 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 48018 (California) | Primary |
News Archive
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› Verified 1 days ago
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