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Organization
S M KIWAN, DDS, INC
Active
Organization
S M KIWAN, DDS, INC
Active
Other names
High Sierra Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALEEM M KIWAN DDS (PROVIDER/OWNER/PRESIDENT)
(559) 224-3110
Entity
Organization
Contact information
Practice address
4820 N. 1ST STREET, SUITE 105, FRESNO, CA 93726-0522
(559) 224-3110
(559) 227-7752
Mailing address
4820 N. 1ST STREET, SUITE 105, FRESNO, CA 93726-0522
(559) 224-3110
(559) 227-7752
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50411
CA
261QD0000X
Dental Clinic/Center
50411
CA
Other
Enumeration date
09/05/2012
Last updated
09/27/2012
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