| Washington Dentistry | |
|
1008 E Washington Ave El Cajon CA 92020 | |
| (619) 334-1468 | |
| (619) 328-4035 |
| Full Name | Washington Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1008 E Washington Ave, El Cajon, California |
| Authorized Official Name and Position | Khalid Marqus Yacoub (OWNER) |
| Authorized Official Contact | 6193341468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Dentistry 1008 E Washington Ave El Cajon CA 92020-6614 Ph: (619) 334-1468 | Washington Dentistry 1008 E Washington Ave El Cajon CA 92020 Ph: (619) 334-1468 |
| NPI Number | 1740460187 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 10/02/2025 |
| Certification Date | 10/02/2025 |
| Medicare PECOS PAC ID | 6406352442 |
|---|---|
| Medicare Enrollment ID | O20250930001539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740460187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43510 (California) | Primary |
| Provider Name | Khalid Markous Yacoub |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1114927100 PECOS PAC ID: 7214433259 Enrollment ID: I20251001000642 |
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