Provider Demographics
NPI:1942671987
Name:KAMIL, SHAYMAA ADEL (DMD)
Entity Type:Individual
Prefix:
First Name:SHAYMAA
Middle Name:ADEL
Last Name:KAMIL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:742 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-4630
Mailing Address - Country:US
Mailing Address - Phone:619-440-0071
Mailing Address - Fax:
Practice Address - Street 1:742 BROADWAY
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-4630
Practice Address - Country:US
Practice Address - Phone:619-440-0071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-16
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65160122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist