| Hetata & Alkhateeb Dental Corp | |
|
267 E 17th St Costa Mesa CA 92627 | |
| (949) 646-2411 | |
| (949) 646-9141 |
| Full Name | Hetata & Alkhateeb Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 267 E 17th St, Costa Mesa, California |
| Authorized Official Name and Position | Maha I Hetata (OWNER) |
| Authorized Official Contact | 9496462411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hetata & Alkhateeb Dental Corp 267 E 17th St Costa Mesa CA 92627 Ph: (949) 646-2411 | Hetata & Alkhateeb Dental Corp 267 E 17th St Costa Mesa CA 92627 Ph: (949) 646-2411 |
| NPI Number | 1235315433 |
|---|---|
| Provider Enumeration Date | 01/17/2008 |
| Last Update Date | 01/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235315433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41699 (California) | Secondary |
| 122300000X | Dentist | 40830 (California) | Primary |
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