Waheed M Dental Of West Covina Corp | |
1647 W Garvey Ave N West Covina CA 91790-2141 | |
(516) 840-0409 | |
Not Available |
Full Name | Waheed M Dental Of West Covina Corp |
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Speciality | Dentist |
Location | 1647 W Garvey Ave N, West Covina, California |
Authorized Official Name and Position | Maryam Waheed (DENTIST) |
Authorized Official Contact | 5168400409 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Waheed M Dental Of West Covina Corp 1647 W Garvey Ave N West Covina CA 91790-2141 Ph: () - | Waheed M Dental Of West Covina Corp 1647 W Garvey Ave N West Covina CA 91790-2141 Ph: (516) 840-0409 |
NPI Number | 1750010310 |
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Provider Enumeration Date | 06/08/2022 |
Last Update Date | 06/08/2022 |
Medicare PECOS PAC ID | 4688011414 |
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Medicare Enrollment ID | O20240328000877 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750010310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
Provider Name | Maryam Waheed |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1861869976 PECOS PAC ID: 8325384894 Enrollment ID: I20190104001653 |
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