Al-Qawaqneh, Ibrahim Mohmad
Al-Qawaqneh, Ibrahim Mohmad is an sole proprietor health care provider with primary practice located at 1719 W Romneya Dr , Anaheim CA 92801-1804. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Al-Qawaqneh, Ibrahim Mohmad can be contacted via phone (714) 991-3900.Contact Information
Primary practice address
1719 W Romneya Dr
Anaheim CA 92801-1804
Phone: (714) 991-3900
Fax: (714) 991-3999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 46726 | California |
Profile Details
| NPI number | 1194805887 |
|---|---|
| LBN Legal business name | Al-Qawaqneh, Ibrahim Mohmad |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1194805887 | NPPES |
| California | Other | G9276201 | DENTI-CAL NUMBER |
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