Provider Demographics
NPI:1184815268
Name:EL RAHEB, AYMAN KAMAL (DDS)
Entity Type:Individual
Prefix:
First Name:AYMAN
Middle Name:KAMAL
Last Name:EL RAHEB
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68860 RAMON RD STE 1
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CTY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-3385
Mailing Address - Country:US
Mailing Address - Phone:760-324-1618
Mailing Address - Fax:760-328-0293
Practice Address - Street 1:68860 RAMON RD STE 1
Practice Address - Street 2:
Practice Address - City:CATHEDRAL CTY
Practice Address - State:CA
Practice Address - Zip Code:92234-3385
Practice Address - Country:US
Practice Address - Phone:760-324-1618
Practice Address - Fax:760-328-0293
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA460541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice