| Cleopatra Dental Riverside | |
|
2955 Van Buren Blvd Ste H4 Riverside CA 92503-5675 | |
| (951) 689-8544 | |
| Not Available |
| Full Name | Cleopatra Dental Riverside |
|---|---|
| Speciality | Clinic/Center |
| Location | 2955 Van Buren Blvd Ste H4, Riverside, California |
| Authorized Official Name and Position | Engy Halim (CEO) |
| Authorized Official Contact | 4243818751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleopatra Dental Riverside 2955 Van Buren Blvd Ste H4 Riverside CA 92503-5675 Ph: (951) 689-8544 | Cleopatra Dental Riverside 2955 Van Buren Blvd Ste H4 Riverside CA 92503-5675 Ph: (951) 689-8544 |
| NPI Number | 1154047975 |
|---|---|
| Provider Enumeration Date | 10/13/2022 |
| Last Update Date | 08/05/2025 |
| Certification Date | 08/05/2025 |
| Medicare PECOS PAC ID | 2567970056 |
|---|---|
| Medicare Enrollment ID | O20250805003153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154047975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
| Provider Name | Engy Farag Halim |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1881316495 PECOS PAC ID: 3476061961 Enrollment ID: I20250805003189 |
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