Provider Demographics
NPI:1376682757
Name:GUINDI, GUINDI MAHFOUZ (DDS)
Entity Type:Individual
Prefix:DR
First Name:GUINDI
Middle Name:MAHFOUZ
Last Name:GUINDI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4420 FIRST STREET
Mailing Address - Street 2:SUITE 113
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-3255
Mailing Address - Country:US
Mailing Address - Phone:559-224-9800
Mailing Address - Fax:559-224-9802
Practice Address - Street 1:5094 N MARTY AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-6586
Practice Address - Country:US
Practice Address - Phone:559-277-0046
Practice Address - Fax:559-224-9802
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA298841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5952OtherSAFEGUARD
CAB29884-02OtherDENTICAL
CADG82OtherSMILE SAVER
CAD118794OtherCIGNA DENTAL
CA95-3897398OtherEIN