Organization
HAFEZ AND GHONEIM DENTAL CORP
Active
Parent organization
HAFEZ AND GHONEIM DENTAL CORP
Other names
Tooth Berry Kids Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAFEZ AND GHONEIM DENTAL CORP
Authorized official
EMAN ABDELMOTTI GHONEIM DDS (GENERAL DENTIST)
(916) 926-0001
Entity
Organization
Contact information
Practice address
1420 E ROSEVILLE PKWY STE 230, ROSEVILLE, CA 95661-3081
(916) 926-0001
Mailing address
4850 MARCONI AVE, CARMICHAEL, CA 95608-4111
(916) 926-0001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2024
Last updated
12/28/2024
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