| Al Khateeb D.d.s Dental Corporation | |
|
267 E 17th St Costa Mesa CA 92627-3831 | |
| (714) 000-0000 | |
| Not Available |
| Full Name | Al Khateeb D.d.s Dental Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 267 E 17th St, Costa Mesa, California |
| Authorized Official Name and Position | Hisham Alkhatheeb (OWNER) |
| Authorized Official Contact | 7140000000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Al Khateeb D.d.s Dental Corporation 267 E 17th St Costa Mesa CA 92627-3831 Ph: () - | Al Khateeb D.d.s Dental Corporation 267 E 17th St Costa Mesa CA 92627-3831 Ph: (714) 000-0000 |
| NPI Number | 1558812420 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 04/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558812420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 41699 (California) | Primary |
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