Organization
MOHAMMAD ABUL-FIELAT DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMAD GHAZI ABUL-FIELAT DDS (OWNER)
(909) 613-1144
Entity
Organization
Contact information
Practice address
14275 PIPELINE AVE., CHINO, CA 91710-5639
(909) 613-1144
(909) 613-0448
Mailing address
14275 PIPELINE AVE., CHINO, CA 91710-5639
(909) 613-1144
(909) 613-0448
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
43302
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B4330201
—
CA
Enumeration date
04/11/2007
Last updated
08/31/2020
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