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Organization
ROFAEL DENTAL CORP.
Active
Organization
ROFAEL DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEDHAT M. RAOUF ROFAEL (DDS)
(714) 444-4224
Entity
Organization
Contact information
Practice address
17150 EUCLID ST STE 311, FOUNTAIN VALLEY, CA 92708-4092
(714) 444-4224
(714) 444-9480
Mailing address
17150 EUCLID ST STE 311, FOUNTAIN VALLEY, CA 92708-4092
(714) 444-4224
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B4071401
MEDICARE
CA
Enumeration date
09/08/2008
Last updated
07/06/2015
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