Individual
ADEEL ANWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17008 13TH STREET, HURON, CA 93234-9997
(800) 492-4227
(559) 646-3652
Mailing address
3875 W BEECHWOOD AVE, FRESNO, CA 93711-0795
(800) 492-4227
(559) 646-3652
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5952
NV
122300000X
Dentist
D7720
AZ
1223G0001X
General Practice Dentistry
Primary
58289
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245470913
—
NV
Enumeration date
02/20/2009
Last updated
10/07/2024
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