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General NPI Number Information
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NPI Number | 1639085368
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Entity Type | Organization
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Legal Business Name | NAMALA DENTAL GROUP OF FRESNO INCOR
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 5731 N FRESNO ST STE 103
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City | FRESNO
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State | CA
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Zip | 93710-6075
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Country | US
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Telephone | 559-616-7629
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Fax | 559-616-7681
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Provider Business Mailing Address
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Address Line | 3385 G ST STE B
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City | MERCED
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State | CA
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Zip | 95340-0980
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Country | US
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Telephone | 559-616-7629
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Fax | 559-616-7681
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Authorized Official
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Title or Position | OM
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Name | MONICA HERNANDEZ
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Credential |
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Telephone | 559-367-6130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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