Provider Demographics
NPI:1477938801
Name:NAGUIB, SHEREEN (DDS)
Entity Type:Individual
Prefix:
First Name:SHEREEN
Middle Name:
Last Name:NAGUIB
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 1:24981 FAIRTIME CIR
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-6010
Mailing Address - Country:US
Mailing Address - Phone:949-448-0156
Mailing Address - Fax:
Practice Address - Street 1:12575 NEWPORT AVE
Practice Address - Street 2:SUITE B
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-2451
Practice Address - Country:US
Practice Address - Phone:714-731-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46058122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist