Organization
MOHAMMAD ABUL FIELAT DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD G ABUL FIELAT PEDO (OWNER)
(909) 355-0385
Entity
Organization
Contact information
Practice address
16946 MARYGOLD AVE, STE #101, FONTANA, CA 92335
(909) 355-0385
(909) 355-0585
Mailing address
9193 SIERRA AVE, SUITE B, FONTANA, CA 92335
(909) 355-0385
(909) 355-0585
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
CA43302
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60543
SAFEGUARD
—
Enumeration date
05/08/2007
Last updated
02/08/2018
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