Individual
BATOOL OBEIDAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
887 W RAMSEY ST, BANNING, CA 92220-4437
(951) 849-3238
Mailing address
887 W RAMSEY ST, BANNING, CA 92220-4437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
64466
CA
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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