Individual
DR. AQIB MUDASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
475 E ALMOND AVE STE 103, MADERA, CA 93637-5750
(559) 662-1010
(559) 662-0942
Mailing address
475 E ALMOND AVE STE 103, MADERA, CA 93637-5750
(559) 662-1010
(559) 662-0942
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9294801
DENTICAL
CA
Enumeration date
03/18/2006
Last updated
01/15/2013
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