Ghina Morad, Dmd, A Professional Corporation | |
2920 Broadway Redwood City CA 94062-1578 | |
(650) 592-6396 | |
(650) 592-6421 |
Full Name | Ghina Morad, Dmd, A Professional Corporation |
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Speciality | Dentist |
Location | 2920 Broadway, Redwood City, California |
Authorized Official Name and Position | Ghina Morad (PRESIDENT & OFFICER) |
Authorized Official Contact | 6505926396 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ghina Morad, Dmd, A Professional Corporation 2920 Broadway Redwood City CA 94062-1578 Ph: (650) 592-6396 | Ghina Morad, Dmd, A Professional Corporation 2920 Broadway Redwood City CA 94062-1578 Ph: (650) 592-6396 |
NPI Number | 1962428359 |
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Provider Enumeration Date | 07/15/2006 |
Last Update Date | 04/04/2024 |
Medicare PECOS PAC ID | 6507213162 |
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Medicare Enrollment ID | O20231103002404 |
Identifier | Type | State | Issuer |
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1962428359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 49149 (California) | Primary |
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