Individual
FRED FAHIMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
17752 BEACH BLVD, SUITE 101, HUNTINGTON BEACH, CA 92647-6838
(714) 848-1515
Mailing address
17752 BEACH BLVD, SUITE 101, HUNTINGTON BEACH, CA 92647-6838
(714) 848-1515
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
21122
CA
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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