Individual
DR. EHAB M NOUGED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1407 W MARCH LN, STOCKTON, CA 95207-6111
(209) 473-1129
(209) 473-1574
Mailing address
4813 CROWN BENCH CIR, ELK GROVE, CA 95757-4607
(916) 761-6469
(209) 473-1574
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49620
CA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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