Individual
DR. NEEHAL GAMAL GHONIEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
838 NORDAHL RD STE 145, SAN MARCOS, CA 92069-3513
(760) 480-6700
(760) 480-6701
Mailing address
4604 TERRAZA MAR MARVELOSA, SAN DIEGO, CA 92130-4675
(954) 288-6696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901021180
MI
1223P0221X
Pediatric Dentistry
Primary
61725
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2011
Last updated
12/30/2021
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