Organization
ABOUSHETA FAMILY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAREK ABOUSHETA DDS MS (PRESIDENT)
(314) 853-5642
Entity
Organization
Contact information
Practice address
4482 BARRANCA PKWY STE 102, IRVINE, CA 92604-4744
(949) 786-7800
Mailing address
4482 BARRANCA PKWY STE 102, IRVINE, CA 92604-4744
(949) 786-7800
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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