| Wathiq Khamis Dds Dental Corporation | |
| 
					40625 Road 128 Cutler CA 93615-2003  | |
| (559) 596-9231 | |
| Not Available | 
| Full Name | Wathiq Khamis Dds Dental Corporation | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 40625 Road 128, Cutler, California | 
| Authorized Official Name and Position | Wathiq Khamis (OWNER) | 
| Authorized Official Contact | 8319059070 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Wathiq Khamis Dds Dental Corporation 2839 Isabel Ave Clovis CA 93611-6085 Ph: (831) 905-9070  | Wathiq Khamis Dds Dental Corporation 40625 Road 128 Cutler CA 93615-2003 Ph: (559) 596-9231  | 
| NPI Number | 1194445155 | 
|---|---|
| Provider Enumeration Date | 08/30/2022 | 
| Last Update Date | 08/30/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194445155 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |