Provider Demographics
NPI:1386037588
Name:M.KARAWI D.D.S. PC AND ASSOCIATES
Entity Type:Organization
Organization Name:M.KARAWI D.D.S. PC AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAWI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:602-274-2351
Mailing Address - Street 1:3326 N 3RD AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-4321
Mailing Address - Country:US
Mailing Address - Phone:602-274-2351
Mailing Address - Fax:602-274-2355
Practice Address - Street 1:3326 N 3RD AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4321
Practice Address - Country:US
Practice Address - Phone:602-274-2351
Practice Address - Fax:602-274-2355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-12
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD5628122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty