Provider Demographics
NPI:1750090254
Name:AL-WAKEEL, HUSSEIN ALI ABDULHUS (DDS, MSC)
Entity type:Individual
Prefix:DR
First Name:HUSSEIN ALI ABDULHUS
Middle Name:
Last Name:AL-WAKEEL
Suffix:
Gender:M
Credentials:DDS, MSC
Other - Prefix:DR
Other - First Name:HUSSEIN
Other - Middle Name:
Other - Last Name:AL-WAKEEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS, MSC
Mailing Address - Street 1:6399 CHRISTIE AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608-1389
Mailing Address - Country:US
Mailing Address - Phone:660-229-1667
Mailing Address - Fax:
Practice Address - Street 1:155 5TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2919
Practice Address - Country:US
Practice Address - Phone:415-351-7178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022022192122300000X
CASP305122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist