| Anas Jebrini Dds Pc | |
|
6815 Five Star Blvd Ste 110 Rocklin CA 95677-2691 | |
| (530) 933-1712 | |
| Not Available |
| Full Name | Anas Jebrini Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 6815 Five Star Blvd Ste 110, Rocklin, California |
| Authorized Official Name and Position | Anas Jebrini (OWNER) |
| Authorized Official Contact | 5309331712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anas Jebrini Dds Pc 6815 Five Star Blvd Ste 110 Rocklin CA 95677-2691 Ph: (530) 933-1712 | Anas Jebrini Dds Pc 6815 Five Star Blvd Ste 110 Rocklin CA 95677-2691 Ph: (530) 933-1712 |
| NPI Number | 1689336711 |
|---|---|
| Provider Enumeration Date | 10/06/2021 |
| Last Update Date | 10/06/2021 |
| Medicare PECOS PAC ID | 7719376177 |
|---|---|
| Medicare Enrollment ID | O20211105001854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689336711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| Provider Name | Anas Jebrini |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144796632 PECOS PAC ID: 8628467081 Enrollment ID: I20211129002330 |
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