FARGO DENTAL CORPORATION

FONTANA, CA
NPI1609418987
Former Legal Business NameBJB DENTAL GROUP A PROFESSIONAL DENTAL CORPORATION
Entity TypeOrganization
Authorized ContactBASSAM WISAM FARGO
Co Owner/Dentist
951-329-7904
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2019-10-08
Last Update Date2020-03-11
Business Address
FARGO DENTAL CORPORATION
8275 SIERRA AVE STE 102
FONTANA, CA 92335-3557
Phone number: 909-823-7567
Mailing Address
FARGO DENTAL CORPORATION
8275 SIERRA AVE STE 102
FONTANA, CA 92335-3557
Phone number: 909-823-7567