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1649794009
BASSAM W FARGO
FONTANA, CA
NPI
1649794009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 101625)
Enumeration Date
2017-07-27
Last Update Date
2020-03-11
Business Address
Dr. BASSAM W FARGO DDS
8275 SIERRA AVE STE 102
FONTANA, CA 92335-3557
Phone number: 951-329-7904
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Mailing Address
Dr. BASSAM W FARGO DDS
11559 SPRINGWOOD CT
RIVERSIDE, CA 92505-5116
Phone number: 951-329-7904
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