| Mohd Khalaf Dds Inc | |
|
2520 Douglas Blvd Ste 140 Roseville CA 95661-3993 | |
| (916) 860-1661 | |
| Not Available |
| Full Name | Mohd Khalaf Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 2520 Douglas Blvd Ste 140, Roseville, California |
| Authorized Official Name and Position | Mohd Khalaf (OWNER) |
| Authorized Official Contact | 8595393427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohd Khalaf Dds Inc 2520 Douglas Blvd Ste 140 Roseville CA 95661-3993 Ph: (916) 860-1661 | Mohd Khalaf Dds Inc 2520 Douglas Blvd Ste 140 Roseville CA 95661-3993 Ph: (916) 860-1661 |
| NPI Number | 1962266296 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 03/04/2024 |
| Medicare PECOS PAC ID | 9436599131 |
|---|---|
| Medicare Enrollment ID | O20240429001708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962266296 | NPI | - | NPPES |
| Provider Name | Mohd Walid Khalaf |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1316251242 PECOS PAC ID: 7810183936 Enrollment ID: I20121010000241 |
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