| Bashar W. Fargo, DDS, Inc. | |
|
8275 Sierra Ave Ste 102 Fontana CA 92335-3557 | |
| (951) 640-5013 | |
| Not Available |
| Full Name | Bashar W. Fargo, DDS, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8275 Sierra Ave Ste 102, Fontana, California |
| Authorized Official Name and Position | Bashar Fargo (DENTIST/OWNER) |
| Authorized Official Contact | 9516405013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bashar W. Fargo, DDS, Inc. 1621 Liv Ct Redlands CA 92374-2718 | Bashar W. Fargo, DDS, Inc. 8275 Sierra Ave Ste 102 Fontana CA 92335-3557 Ph: (951) 640-5013 |
| NPI Number | 1104466598 |
|---|---|
| Provider Enumeration Date | 01/14/2020 |
| Last Update Date | 01/14/2020 |
| Certification Date | 01/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104466598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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