Dr Mohamed Ihsan Kayali, DDS | |
1111 W Covina Blvd, Suite 220, San Dimas, CA 91773-3205 | |
(909) 599-9510 | |
(909) 599-1610 |
Full Name | Dr Mohamed Ihsan Kayali |
---|---|
Gender | Male |
Speciality | Dentist - Periodontics |
Location | 1111 W Covina Blvd, San Dimas, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477612406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 44495 (California) | Primary |
Entity Name | Amerident Health Pro Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467818401 PECOS PAC ID: 3779888193 Enrollment ID: O20160223002147 |
Mailing Address | Practice Location Address |
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Dr Mohamed Ihsan Kayali, DDS 1111 W Covina Blvd, Suite 220, San Dimas, CA 91773-3205 Ph: (909) 599-9510 | Dr Mohamed Ihsan Kayali, DDS 1111 W Covina Blvd, Suite 220, San Dimas, CA 91773-3205 Ph: (909) 599-9510 |
Dr. Maher Albouz, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 639 E Foothill Blvd Ste A, San Dimas, CA 91773 Phone: 909-599-2029 | |
Dr. Delisa A Celaya, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 319 N San Dimas Ave, Suite A, San Dimas, CA 91773 Phone: 909-599-5123 Fax: 909-592-1903 | |
Ahmed Farid, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 337 Calle Canela, San Dimas, CA 91773 Phone: 310-880-7057 | |
Mohammad Yasser Ascha, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1111 W Covina Blvd, Suite 210, San Dimas, CA 91773 Phone: 909-599-3685 Fax: 909-592-5927 | |
Yanina Jouzy, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1033 W Arrow Hwy, San Dimas, CA 91773 Phone: 310-487-4542 | |
Tushar B Patel, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Arrow Hwy Ste 110, San Dimas, CA 91773 Phone: 909-394-5500 Fax: 909-394-7700 | |
Dr. George Ibrahim, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 678 W Arrow Hwy, San Dimas, CA 91773 Phone: 909-643-8007 |