| Atef E.hana, D.d.s, Inc. | |
|
2836 W Rialto Ave Ste A Rialto CA 92376-6816 | |
| (909) 820-9454 | |
| (909) 820-9482 |
| Full Name | Atef E.hana, D.d.s, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2836 W Rialto Ave Ste A, Rialto, California |
| Authorized Official Name and Position | Atef Hana (OWNER) |
| Authorized Official Contact | 6262031934 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atef E.hana, D.d.s, Inc. 2836 W Rialto Ave Ste A Rialto CA 92376-6816 Ph: (909) 820-9454 | Atef E.hana, D.d.s, Inc. 2836 W Rialto Ave Ste A Rialto CA 92376-6816 Ph: (909) 820-9454 |
| NPI Number | 1326503368 |
|---|---|
| Provider Enumeration Date | 02/04/2019 |
| Last Update Date | 02/04/2019 |
| Medicare PECOS PAC ID | 1254755630 |
|---|---|
| Medicare Enrollment ID | O20200717001222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326503368 | NPI | - | NPPES |
| 1437219003 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Atef E Hana |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1437219003 PECOS PAC ID: 2163846544 Enrollment ID: I20200717001306 |
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