| Mustafa Bilal Dds Inc | |
|
1210 S Brookhurst St Anaheim CA 92804-5419 | |
| (714) 535-7500 | |
| Not Available |
| Full Name | Mustafa Bilal Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1210 S Brookhurst St, Anaheim, California |
| Authorized Official Name and Position | Mustafa Bilal (OWNER) |
| Authorized Official Contact | 7145357500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mustafa Bilal Dds Inc 1210 S Brookhurst St Anaheim CA 92804-5419 Ph: (714) 535-7500 | Mustafa Bilal Dds Inc 1210 S Brookhurst St Anaheim CA 92804-5419 Ph: (714) 535-7500 |
| NPI Number | 1235373291 |
|---|---|
| Provider Enumeration Date | 04/21/2009 |
| Last Update Date | 05/04/2009 |
| Medicare PECOS PAC ID | 5597011320 |
|---|---|
| Medicare Enrollment ID | O20180709001629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235373291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52583 (California) | Primary |
| Provider Name | Mustafa Bilal |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1053462515 PECOS PAC ID: 7012263841 Enrollment ID: I20180709001805 |
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