Changizi & Ismail Dental Corporation
NPI #1518254887 in Fresno, California
Provider Information
- NPI Number
- 1518254887
- Entity Type
- Organization
- Organization Name
- Changizi & Ismail Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 7, 2011
- Last Updated
- Aug 8, 2011
Practice Location
- Address
- 4952 E KINGS CANYON RD # 101
- City
- Fresno
- State
- California
- ZIP Code
- 93727-3896
- Phone
- (559) 453-9100
Authorized Official
- Name
- MRS. SUSSAN CHANGIZI, DDS
- Title
- PRESIDENT / SECRETARY
- Phone
- (559) 453-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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