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Organization
BASHAR W. FARGO, DDS, INC.
Active
Organization
BASHAR W. FARGO, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASHAR FARGO DDS (DENTIST/OWNER)
(951) 640-5013
Entity
Organization
Contact information
Practice address
8275 SIERRA AVE STE 102, FONTANA, CA 92335-3557
(951) 640-5013
Mailing address
1621 LIV CT, REDLANDS, CA 92374-2718
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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