Alqadoumi, Thaer Basim

Alqadoumi, Thaer Basim is an individual health care provider with primary practice located at 81735 Us Highway 111 Suite A, Indio CA 92201-0713. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Alqadoumi, Thaer Basim can be contacted via phone (760) 238-4533.

Contact Information

Primary practice address
81735 Us Highway 111 Suite A Indio CA 92201-0713
Phone: (760) 238-4533
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 100200 California
Dental Providers / Periodontics 1223P0300X 100200 California

Profile Details

NPI number 1487000592
LBN Legal business name Alqadoumi, Thaer Basim
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2016
Last updated Oct 16th, 2022 - about 2 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.

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