Organization
MOHAMMAD ABUL FIELAT DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMAD G ABUL-FIELAT DDS (OWNER)
(951) 688-5437
Entity
Organization
Contact information
Practice address
1195 MAGNOLIA AVE, CORONA, CA 92879
(951) 339-3005
(951) 793-7723
Mailing address
1358 W 6TH STREET STE #102, CORONA, CA 92882
(951) 739-7970
(951) 793-7723
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
D43302
CA
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063532802
—
CA
Enumeration date
05/19/2009
Last updated
05/06/2021
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