Haitham Mosly, Dmd, A Professional Corporation

NPI 1427435809 - Dentist - 122300000X

NPI Details
NPI 1427435809
Enumeration Date 05/05/2015
Last Updated 05/05/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name HAITHAM HAITHAM
Position DMD/PRACTICE OWNER
Phone (916) 797-0406
Fax
Practice Location
1740 SANTA CLARA DR
SUITE 100-B
ROSEVILLE CA, 95661-2921, US
Phone (916) 797-0406
Fax
Business Location
1740 SANTA CLARA DR
SUITE 100-B
ROSEVILLE CA, 95661-2921, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 61008
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According to our database, Haitham Mosly, Dmd, A Professional Corporation NPI is 1427435809, taxonomy code is 122300000X and license number is 61008, license state is located at California. Haitham Mosly, Dmd, A Professional Corporation physically located at 1740 Santa Clara Dr, Roseville CA, 95661-2921. NPI Number 1033115704 has the healthcare provider type.

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1427435809 NPI number is provided on an as is basis without warranty of any kind. 1427435809 is maintained by the National Plan & Provider Enumeration System. The contents of Haitham Mosly, Dmd, A Professional Corporation are for informational purposes only.