BASSAM W. FARGO, DDS, INC.

RIVERSIDE, CA
NPI1154961522
Entity TypeOrganization
Authorized ContactBASSAM WISAM FARGO
Owner
951-329-7904
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2020-01-13
Last Update Date2020-03-11
Business Address
BASSAM W. FARGO, DDS, INC.
1717 3RD ST
RIVERSIDE, CA 92507-3435
Phone number: 951-329-7904
Mailing Address
BASSAM W. FARGO, DDS, INC.
11559 SPRINGWOOD CT
RIVERSIDE, CA 92505-5116
Phone number: 951-329-7904
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