Gamal Tewfik, Dds, Inc. | |
6334 Lincoln Ave Cypress CA 90630-5811 | |
(714) 527-1801 | |
(714) 527-1833 |
Full Name | Gamal Tewfik, Dds, Inc. |
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Speciality | Dentist |
Location | 6334 Lincoln Ave, Cypress, California |
Authorized Official Name and Position | Gamal Tewfik (OWNER) |
Authorized Official Contact | 7145271801 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gamal Tewfik, Dds, Inc. 6334 Lincoln Ave Cypress CA 90630-5811 Ph: (714) 527-1801 | Gamal Tewfik, Dds, Inc. 6334 Lincoln Ave Cypress CA 90630-5811 Ph: (714) 527-1801 |
NPI Number | 1174838445 |
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Provider Enumeration Date | 08/11/2010 |
Last Update Date | 08/11/2010 |
Medicare PECOS PAC ID | 1951723188 |
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Medicare Enrollment ID | O20200617000695 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174838445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 55680 (California) | Primary |
Provider Name | Gamal F Tewfik |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1396954681 PECOS PAC ID: 5496051609 Enrollment ID: I20200617000830 |
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