| Abousheta Family Dental Group | |
|
4482 Barranca Pkwy Ste 102 Irvine CA 92604-4744 | |
| (949) 786-7800 | |
| Not Available |
| Full Name | Abousheta Family Dental Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4482 Barranca Pkwy Ste 102, Irvine, California |
| Authorized Official Name and Position | Tarek Abousheta (PRESIDENT) |
| Authorized Official Contact | 3148535642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abousheta Family Dental Group 4482 Barranca Pkwy Ste 102 Irvine CA 92604-4744 Ph: (949) 786-7800 | Abousheta Family Dental Group 4482 Barranca Pkwy Ste 102 Irvine CA 92604-4744 Ph: (949) 786-7800 |
| NPI Number | 1194364430 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 01/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194364430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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