# ABC DENTAL GROUP,DR'S FAY,MYINT,AUNG A PROF.DENTAL CORP.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ABC Dental Group-Faghih DDS Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467576017
- **Authorized official:** DR. MEHRDAD FAY DDS (PRESIDENT)
- **Authorized official phone:** (559) 733-9797

## Contact information

- **Practice address:** 2544 S MOONEY BLVD, VISALIA, CA 93277-6237
- **Practice address phone:** (559) 733-9797
- **Practice address fax:** (559) 739-0786
- **Mailing address:** 2544 S MOONEY BLVD, VISALIA, CA 93277-6237
- **Mailing address phone:** (559) 733-9797
- **Mailing address fax:** (559) 739-0786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | CA | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 09/17/2012

## 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 |