Provider Demographics
NPI:1497163075
Name:EL-KWEIFI, SONIA
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:EL-KWEIFI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-5643
Mailing Address - Country:US
Mailing Address - Phone:832-661-3155
Mailing Address - Fax:
Practice Address - Street 1:870 CHARLES ST
Practice Address - Street 2:
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-5643
Practice Address - Country:US
Practice Address - Phone:401-475-9898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-28
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX303291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice