Provider Demographics
NPI:1326575739
Name:AL-FAYSALE, NORA (DDS)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:
Last Name:AL-FAYSALE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 BARTON RD APT 1703
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-5342
Mailing Address - Country:US
Mailing Address - Phone:832-623-0027
Mailing Address - Fax:
Practice Address - Street 1:1601 BARTON RD APT 1703
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-5342
Practice Address - Country:US
Practice Address - Phone:832-623-0027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401415612122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist