Healthcare Provider Details

I. General information

NPI: 1891162970
Provider Name (Legal Business Name): ZUHERY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2015
Last Update Date: 08/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5646 N PALM AVE STE 101
FRESNO CA
93704-1848
US

IV. Provider business mailing address

5646 N PALM AVE STE 101
FRESNO CA
93704-1848
US

V. Phone/Fax

Practice location:
  • Phone: 559-431-6626
  • Fax: 559-431-6499
Mailing address:
  • Phone: 559-431-6626
  • Fax: 559-431-6499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number59282
License Number StateCA

VIII. Authorized Official

Name: HOSSAM EL-ZUHERY
Title or Position: OWNER
Credential: DDS
Phone: 559-431-6626