Provider Demographics
NPI:1881994689
Name:ALMUSAWI, MAHA (DDS)
Entity type:Individual
Prefix:DR
First Name:MAHA
Middle Name:
Last Name:ALMUSAWI
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 1:2821 EASTERN AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-5445
Mailing Address - Country:US
Mailing Address - Phone:323-578-5853
Mailing Address - Fax:
Practice Address - Street 1:2821 EASTERN AVE STE 2
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-5445
Practice Address - Country:US
Practice Address - Phone:916-850-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA598551223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice