Provider Demographics
NPI:1477844488
Name:TABEL, MOHAMMED (DDS)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:
Last Name:TABEL
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 1:2839 E COOLIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-5213
Mailing Address - Country:US
Mailing Address - Phone:714-393-3013
Mailing Address - Fax:
Practice Address - Street 1:2839 E COOLIDGE AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-5213
Practice Address - Country:US
Practice Address - Phone:714-393-3013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA607671223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery