Organization
CHANGIZI & ISMAIL DENTAL CORPORATION
Active
Other names
DENTAL GROUP OF CALIFORNIA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSSAN CHANGIZI DDS (PRESIDENT / SECRETARY)
(559) 453-9100
Entity
Organization
Contact information
Practice address
4952 E KINGS CANYON RD # 101, FRESNO, CA 93727-3896
(559) 453-9100
(559) 453-9200
Mailing address
4952 E KINGS CANYON RD # 101, FRESNO, CA 93727-3896
(559) 453-9100
(559) 453-9200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/07/2011
Last updated
08/08/2011
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