| Moheb Dmd Inc | |
|
1844 San Miguel Dr Ste 206 Walnut Creek CA 94596-4962 | |
| (925) 279-3326 | |
| (925) 279-2270 |
| Full Name | Moheb Dmd Inc |
|---|---|
| Speciality | Dentist |
| Location | 1844 San Miguel Dr, Walnut Creek, California |
| Authorized Official Name and Position | Blanca Casillas (VICE PRESIDENT) |
| Authorized Official Contact | 9253003992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moheb Dmd Inc 1844 San Miguel Dr Ste 206 Walnut Creek CA 94596-4963 Ph: (925) 457-6906 | Moheb Dmd Inc 1844 San Miguel Dr Ste 206 Walnut Creek CA 94596-4962 Ph: (925) 279-3326 |
| NPI Number | 1841593852 |
|---|---|
| Provider Enumeration Date | 12/13/2010 |
| Last Update Date | 12/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841593852 | NPI | - | NPPES |
| 1841593852 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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