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Organization
MONA A FAHMY D.D.S. INC.
Active
Organization
MONA A FAHMY D.D.S. INC.
Active
Other names
Buena Park Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONA ADEL FAHMY D.D.S. (OWNER/DENTIST)
(714) 739-2051
Entity
Organization
Contact information
Practice address
8402 COMMONWEALTH AVE, BUENA PARK, CA 90621-2528
(714) 739-2051
(714) 739-5146
Mailing address
8402 COMMONWEALTH AVE, BUENA PARK, CA 90621-2528
(714) 739-2051
(714) 739-5146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39358
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B39358-01
DENTI-CAL (MEDI-CAL)
CA
Enumeration date
11/04/2014
Last updated
11/04/2014
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