Organization
B. FAREID DDS DBA KINGSBURG SMILE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEHZAD MAZADA FAREID DDS (OWNER)
(559) 897-5042
Entity
Organization
Contact information
Practice address
1591 EARL ST, KINGSBURG, CA 93631-2200
(559) 897-5042
(559) 897-5041
Mailing address
1591 EARL ST, KINGSBURG, CA 93631-2200
(559) 897-5042
(559) 897-5041
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40434
CA
Other
Enumeration date
05/08/2017
Last updated
05/08/2017
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