Healthcare Provider Details

I. General information

NPI: 1316533136
Provider Name (Legal Business Name): ALFY DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2020
Last Update Date: 12/16/2020
Certification Date: 12/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 DORMODY CT STE A
MONTEREY CA
93940-2908
US

IV. Provider business mailing address

2440 FREMONT ST STE 211
MONTEREY CA
93940-6850
US

V. Phone/Fax

Practice location:
  • Phone: 831-373-3703
  • Fax:
Mailing address:
  • Phone: 402-613-2236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAMEH BEKHIT
Title or Position: OWNER
Credential:
Phone: 402-613-2236