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NPI Code Detail

MEDICARE: DR. SARA EL-SHERBINI DMD

MEDICARE: DR. SARA EL-SHERBINI DMD
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
11223G0001XGeneral Practice DentistryDN20508FL
21223G0001XGeneral Practice DentistryDDS102332CA
3390200000XStudent in an Organized Health Care Education/Training Program
41223P0221XPediatric Dentistry102332CA

General Provider Information

NPI Number : 1407197288
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARA EL-SHERBINI DMD
Provider Business Mailing Address
First Line : 3150 CASE RD BLDG C
Second Line :
City : PERRIS
State : CA
Zip : 92570-5552
Country : US
Telephone Number : 951-345-4386
Fax Number :
Provider Business Practice Location Address
First Line : 3150 CASE RD BLDG C
Second Line :
City : PERRIS
State : CA
Zip : 92570-5552
Country : US
Telephone Number : 951-345-4386
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2013
Last Update Date : 08/09/2021

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