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Organization
ABC DENTAL GROUP,DR'S FAY,MYINT,AUNG A PROF.DENTAL CORP.
Active
Organization
ABC DENTAL GROUP,DR'S FAY,MYINT,AUNG A PROF.DENTAL CORP.
Active
Other names
ABC Dental Group-Faghih DDS Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHRDAD FAY DDS (PRESIDENT)
(559) 733-9797
Entity
Organization
Contact information
Practice address
2544 S MOONEY BLVD, VISALIA, CA 93277-6237
(559) 733-9797
(559) 739-0786
Mailing address
2544 S MOONEY BLVD, VISALIA, CA 93277-6237
(559) 733-9797
(559) 739-0786
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13674
PACIFIC UNION DENTAL HMO
CA
01
—
159654
CIGNA HMO
CA
01
—
1626
CALIFORNIADENTAL NETWORK
CA
01
—
185601
DELTA CARE USA-HMO
CA
01
—
349835
UNITED CONCORDIA
CA
01
—
761
DENTAL NET HMO
CA
01
—
B40815-01
DENTI-CAL
CA
Enumeration date
03/19/2007
Last updated
09/17/2012
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