Individual
SAMER RASHAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
157-02 CROSS BAY BOULEVARD, SUITE 10, HOWARD BEACH, NY 11414
(718) 323-5437
Mailing address
3006 BUCKHAVEN, CHINO HILLS, CA 91709
(909) 525-0430
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
061963
NY
1223P0221X
Pediatric Dentistry
Primary
104858
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061963
NEW YORK DENTAL LICENSE
NY
01
—
104858
CALIFORNIA DENTAL LICENSE
CA
Enumeration date
04/03/2019
Last updated
09/12/2023
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