Provider Demographics
NPI:1245560481
Name:HOSNY, KAZEM FOUAD (DDS, APC)
Entity type:Individual
Prefix:
First Name:KAZEM
Middle Name:FOUAD
Last Name:HOSNY
Suffix:
Gender:M
Credentials:DDS, APC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5367 N VALENTINE AVE APT 124
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-4088
Mailing Address - Country:US
Mailing Address - Phone:408-806-2331
Mailing Address - Fax:
Practice Address - Street 1:126 W B ST
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91762-3503
Practice Address - Country:US
Practice Address - Phone:408-806-2331
Practice Address - Fax:909-984-4414
Is Sole Proprietor?:No
Enumeration Date:2010-01-11
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA590781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice