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DR. TAREK ABOUSHETA DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1659714194

Individual Registrant:
DR. TAREK  ABOUSHETA DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4482 BARRANCA PKWY STE 102  IRVINE, CA 92604-4744 US
Tel: 949-786-7800  Fax: --

Contact information for business:
2451 GREENWICH ST APT#104 SAN FRANCISCO, CA 94123-3370 US
Tel: 314-853-5642  Fax: --

Registration Information:
NPI: 1659714194
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA61567

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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