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Organization

MOHAMMAD ABUL FIELAT DDS INC

Active
Other names
Mohamad Abul-Fielat DDS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOHAMAD ABUL FIELAT PEDIATRIC DENTIST (OWNER)
(951) 688-5437
Entity
Organization

Contact information

Practice address
3564 VAN BUREN BLVD, RIVERSIDE, CA 92503-4214
(951) 688-5437
(951) 688-5434
Mailing address
3564 VAN BUREN BLVD, RIVERSIDE, CA 92503
(951) 688-5437
(951) 688-5434

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
43302
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
G9225201
CA
Enumeration date
03/29/2007
Last updated
03/12/2015
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