MEDICARE: ZUHERY CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	59282	CA

General Provider Information

NPI Number	:	1891162970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZUHERY CORP

Provider Business Mailing Address
First Line	:	5646 N PALM AVE STE 101
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93704-1848
Country	:	US
Telephone Number	:	559-431-6626
Fax Number	:	559-431-6499

Provider Business Practice Location Address
First Line	:	5646 N PALM AVE STE 101
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93704-1848
Country	:	US
Telephone Number	:	559-431-6626
Fax Number	:	559-431-6499

Authorized Official
Title or Position	:	OWNER
Name	:	HOSSAM EL-ZUHERY
Credential	:	DDS
Telephone Number	:	559-431-6626

Provider Enumeration Date	:	08/25/2015
Last Update Date	:	08/25/2015

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Directions to “ZUHERY CORP ” Practice Location

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