Individual
DR. AHMAD MATIN RASUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
159 W HOSPITALITY LN STE 201, SAN BERNARDINO, CA 92408-3348
(909) 558-4960
Mailing address
159 W HOSPITALITY LN STE 201, SAN BERNARDINO, CA 92408-3348
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
102762
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
102762
CA
Other
Enumeration date
06/01/2020
Last updated
09/08/2020
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