Al-Khadra, Enas
Al-Khadra, Enas is an individual health care provider with primary practice located at 4800 Ne 20Th Ter Ste 301 , Fort Lauderdale FL 33308-4510. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Al-Khadra, Enas can be contacted via phone (954) 727-9865.Contact Information
Primary practice address
4800 Ne 20Th Ter Ste 301
Fort Lauderdale FL 33308-4510
Phone: (954) 727-9865
Fax: (954) 727-9940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN16650 | Florida |
Profile Details
| NPI number | 1588672430 |
|---|---|
| LBN Legal business name | Al-Khadra, Enas |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jun 29th, 2010 - about 14 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 | 1588672430 | NPPES |
| Florida | MEDICAID | 075773000 |
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