| Tareq M. Afifi, D.d.s., Inc. | |
|
12850 10th St Suite B1 Chino CA 91710-4293 | |
| (909) 613-0111 | |
| (909) 613-0150 |
| Full Name | Tareq M. Afifi, D.d.s., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 12850 10th St, Chino, California |
| Authorized Official Name and Position | Tareq Mohyi-eldin Afifi (DENTIST) |
| Authorized Official Contact | 9096130111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tareq M. Afifi, D.d.s., Inc. 12850 10th St Suite B1 Chino CA 91710-4293 Ph: (909) 613-0111 | Tareq M. Afifi, D.d.s., Inc. 12850 10th St Suite B1 Chino CA 91710-4293 Ph: (909) 613-0111 |
| NPI Number | 1659744803 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 11/10/2015 |
| Medicare PECOS PAC ID | 7810239837 |
|---|---|
| Medicare Enrollment ID | O20190423001717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659744803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 61584 (California) | Primary |
| Provider Name | Tareq Dds Afifi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710230206 PECOS PAC ID: 9234445099 Enrollment ID: I20190423001963 |
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