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Organization
EHSAN DIAB DENTAL COMPANY INC.
Active
Organization
EHSAN DIAB DENTAL COMPANY INC.
Active
Other names
Pacific Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHSAN DIAB (CEO)
(559) 824-5011
Entity
Organization
Contact information
Practice address
1665 W SHAW AVE STE 103, FRESNO, CA 93711-3508
(559) 492-2486
(559) 840-1469
Mailing address
1665 W SHAW AVE STE 103, FRESNO, CA 93711-3508
(559) 492-2486
(559) 840-1469
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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