| Mohammad Abul Fielat Dds Inc | |
|
12900 Perris Blvd Ste 201 Moreno Valley CA 92553-4135 | |
| (951) 243-3120 | |
| Not Available |
| Full Name | Mohammad Abul Fielat Dds Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 12900 Perris Blvd Ste 201, Moreno Valley, California |
| Authorized Official Name and Position | Mohammad G Abul-fielat (OWNER/DENTIST) |
| Authorized Official Contact | 9518186017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad Abul Fielat Dds Inc 3564 Van Buren Blvd Riverside CA 92503 Ph: (951) 688-5437 | Mohammad Abul Fielat Dds Inc 12900 Perris Blvd Ste 201 Moreno Valley CA 92553-4135 Ph: (951) 243-3120 |
| NPI Number | 1336661867 |
|---|---|
| Provider Enumeration Date | 07/17/2017 |
| Last Update Date | 07/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336661867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 43302 (California) | Primary |
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