Individual
BASHAR FARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12051 MARIPOSA RD, HESPERIA, CA 92345-1613
(760) 243-7957
Mailing address
11470 BRIDGEWAY DR, RIVERSIDE, CA 92505-3465
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
101627
CA
Other
Enumeration date
07/28/2017
Last updated
03/17/2018
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