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General NPI Number Information
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NPI Number | 1184859258
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Entity Type | Organization
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Legal Business Name | MOHAMMAD ABUL FIELAT DDS INC
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Dates
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Enumeration Date | 05/19/2009
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Last Update Date | 03/02/2020
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Provider Practice Location Address
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Address Line | 1306 W FLORIDA AVE STE 306
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City | HEMET
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State | CA
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Zip | 92543-3908
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Country | US
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Telephone | 951-658-5000
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Fax | 951-658-5015
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Provider Business Mailing Address
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Address Line | DENTISTRY 4 KIDS OF HEMET 1306 W. FLORIDA AVE STE #306
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City | HEMET
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State | CA
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Zip | 92543
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Country | US
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Telephone | 951-658-5000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMAD G ABUL FIELAT
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Credential | DDS
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Telephone | 951-688-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | D43302
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License Number State | CA
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