Noura Fadel Rateb Dds Inc | |
720 Brookside Ave Ste 100 Redlands CA 92373-5189 | |
(909) 488-0222 | |
Not Available |
Full Name | Noura Fadel Rateb Dds Inc |
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Speciality | Advanced Practice Dental Therapist |
Location | 720 Brookside Ave Ste 100, Redlands, California |
Authorized Official Name and Position | Noura Seif Allah Ahmed Fadel Rateb (CEO) |
Authorized Official Contact | 5857700592 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Noura Fadel Rateb Dds Inc 720 Brookside Ave Ste 100 Redlands CA 92373-5189 Ph: (909) 488-0222 | Noura Fadel Rateb Dds Inc 720 Brookside Ave Ste 100 Redlands CA 92373-5189 Ph: (909) 488-0222 |
NPI Number | 1679216253 |
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Provider Enumeration Date | 04/20/2022 |
Last Update Date | 04/20/2022 |
Medicare PECOS PAC ID | 5799129292 |
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Medicare Enrollment ID | O20240222002613 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679216253 | NPI | - | NPPES |
Provider Name | Noura Fadel Rateb |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1881826931 PECOS PAC ID: 6608210109 Enrollment ID: I20240222002737 |
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