Provider Demographics
NPI:1033119714
Name:AYMAN K EL RAHEB DDS INC
Entity Type:Organization
Organization Name:AYMAN K EL RAHEB DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AYMAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:EL-RAHEB
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-324-1618
Mailing Address - Street 1:68860 RAMON RD
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-3100
Mailing Address - Country:US
Mailing Address - Phone:760-324-1618
Mailing Address - Fax:760-328-0293
Practice Address - Street 1:68860 RAMON RD
Practice Address - Street 2:
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92234-3100
Practice Address - Country:US
Practice Address - Phone:760-324-1618
Practice Address - Fax:760-328-0293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46054122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty