Provider Demographics
NPI:1629622501
Name:EL-KASHEF, LINA (DDS)
Entity Type:Individual
Prefix:
First Name:LINA
Middle Name:
Last Name:EL-KASHEF
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 1:430 BUCKINGHAM RD APT 931
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5760
Mailing Address - Country:US
Mailing Address - Phone:214-727-6854
Mailing Address - Fax:
Practice Address - Street 1:3248 S PRESTON RD STE 140
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-3899
Practice Address - Country:US
Practice Address - Phone:214-851-0130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX335447122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist