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Organization
KINGSBURG SMILE CENTER
Active
Organization
KINGSBURG SMILE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEHZAD MAZADA FAREID DDS (DDS/OWNER)
(559) 897-5042
Entity
Organization
Contact information
Practice address
1591 EARL ST, KINGSBURG, CA 93631-2200
(559) 897-5042
Mailing address
1591 EARL ST, KINGSBURG, CA 93631-2200
(559) 897-5042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
64702
CA
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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