Afifi, Tareq
Afifi, Tareq is an individual health care provider with primary practice located at 12850 10Th St Suite B-1, Chino CA 91710-4293. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Afifi, Tareq can be contacted via phone (909) 613-0111.Contact Information
Primary practice address
12850 10Th St Suite B-1
Chino CA 91710-4293
Phone: (909) 613-0111
Fax: (909) 613-0150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 61584 | California |
Profile Details
| NPI number | 1710230206 |
|---|---|
| LBN Legal business name | Afifi, Tareq |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2012 |
| Last updated | Sep 13th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710230206 | NPPES |
| California | MEDICAID | 1659744803 |
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