Yacoub, Khalid M
Yacoub, Khalid M is an sole proprietor health care provider with primary practice located at 1008 E Washington Ave , El Cajon CA 92020-6614. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Yacoub, Khalid M can be contacted via phone (619) 334-1468.Contact Information
Primary practice address
1008 E Washington Ave
El Cajon CA 92020-6614
Phone: (619) 334-1468
Fax: (619) 328-4035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 43510 | California |
Profile Details
| NPI number | 1114927100 |
|---|---|
| LBN Legal business name | Yacoub, Khalid M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1114927100 | NPPES |
| California | Other | G92696-01 | DENTICAL |
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