| Dr. Mansour | |
|
68487 E Palm Canyon Dr Ste 1 Cathedral Cty CA 92234-5434 | |
| (760) 770-2776 | |
| Not Available |
| Full Name | Dr. Mansour |
|---|---|
| Speciality | Dentist |
| Location | 68487 E Palm Canyon Dr Ste 1, Cathedral Cty, California |
| Authorized Official Name and Position | Yahya Mansour (OWNER) |
| Authorized Official Contact | 8175298151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mansour 68487 E Palm Canyon Dr Ste 1 Cathedral Cty CA 92234-5434 Ph: (760) 770-2776 | Dr. Mansour 68487 E Palm Canyon Dr Ste 1 Cathedral Cty CA 92234-5434 Ph: (760) 770-2776 |
| NPI Number | 1780920702 |
|---|---|
| Provider Enumeration Date | 12/19/2012 |
| Last Update Date | 01/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780920702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 58012 (California) | Primary |