Provider Demographics
NPI:1336544188
Name:ABULHASAN ALMUSAWI DENTAL PARTNERSHIP
Entity Type:Organization
Organization Name:ABULHASAN ALMUSAWI DENTAL PARTNERSHIP
Other - Org Name:M & M SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RECEPTIONIST
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-920-3572
Mailing Address - Street 1:2 SCRIPPS DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6207
Mailing Address - Country:US
Mailing Address - Phone:916-920-3572
Mailing Address - Fax:916-920-3115
Practice Address - Street 1:2 SCRIPPS DR
Practice Address - Street 2:SUITE 208
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6207
Practice Address - Country:US
Practice Address - Phone:916-920-3572
Practice Address - Fax:916-920-3115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-22
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA598551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty