Healthcare Provider Details
I. General information
NPI: 1477274009
Provider Name (Legal Business Name): FIKRAY ALAMARI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/12/2022
Last Update Date: 09/12/2022
Certification Date: 09/12/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
250 W 5TH ST
HANFORD CA
93230-5029
US
IV. Provider business mailing address
250 W 5TH ST
HANFORD CA
93230-5029
US
V. Phone/Fax
- Phone: 877-960-3426
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | DDS107844 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: