Dimachki, Talal

Dimachki, Talal is an sole proprietor health care provider with primary practice located at 2120 Spectrum , Irvine CA 92618. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Dimachki, Talal can be contacted via phone (315) 278-2763.

Contact Information

Primary practice address
2120 Spectrum Irvine CA 92618
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 000009 New York

Profile Details

NPI number 1487703500
LBN Legal business name Dimachki, Talal
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Apr 9th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487703500 NPPES
New York MEDICAID 02510507

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