Healthcare Provider Details

I. General information

NPI: 1336355361
Provider Name (Legal Business Name): ESKANDER YOUSSEF ESKANDER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3664 W SHAW AVE
FRESNO CA
93711
US

IV. Provider business mailing address

2620 E NILES
FRESNO CA
93720
US

V. Phone/Fax

Practice location:
  • Phone: 559-277-5800
  • Fax: 559-277-1197
Mailing address:
  • Phone: 559-297-5103
  • Fax: 559-297-5103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number4394701
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: