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NPI Code Detail

MEDICARE: RAFAH ABDELMONEM DDS

MEDICARE:   RAFAH  ABDELMONEM  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDN16642FL

General Provider Information

NPI Number : 1194736959
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAFAH ABDELMONEM DDS
Provider Business Mailing Address
First Line : 1505 NW 167TH ST
Second Line : SUITE 100
City : MIAMI
State : FL
Zip : 33169-5133
Country : US
Telephone Number : 305-625-5400
Fax Number : 305-625-8110
Provider Business Practice Location Address
First Line : 1505 NW 167TH ST
Second Line : SUITE 100
City : MIAMI
State : FL
Zip : 33169-5133
Country : US
Telephone Number : 305-625-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 01/05/2011

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Directions to “ RAFAH ABDELMONEM DDS” Practice Location

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