Healthcare Provider Details

I. General information

NPI: 1023922606
Provider Name (Legal Business Name): FERAS AL REZK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

918 W MAIN ST
VISALIA CA
93291-5921
US

IV. Provider business mailing address

918 W MAIN ST
VISALIA CA
93291-5921
US

V. Phone/Fax

Practice location:
  • Phone: 559-733-2273
  • Fax:
Mailing address:
  • Phone: 559-733-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. FERAS AL REZK
Title or Position: PRESIDENT/OWNER
Credential: DDS
Phone: 559-733-2273