Provider Demographics
NPI:1750465068
Name:MUSLEH, LINA YACOUB (DDS)
Entity type:Individual
Prefix:DR
First Name:LINA
Middle Name:YACOUB
Last Name:MUSLEH
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 1:19754 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-2989
Mailing Address - Country:US
Mailing Address - Phone:714-964-8830
Mailing Address - Fax:714-964-8403
Practice Address - Street 1:19754 BEACH BLVD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-2989
Practice Address - Country:US
Practice Address - Phone:714-964-8830
Practice Address - Fax:714-964-8403
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA373521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice