Provider Demographics
NPI:1912299595
Name:ABDELKARIM, MANAL K (DDS)
Entity Type:Individual
Prefix:DR
First Name:MANAL
Middle Name:K
Last Name:ABDELKARIM
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 1:5916 PEBBLE HILL CT
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-2609
Mailing Address - Country:US
Mailing Address - Phone:909-565-5211
Mailing Address - Fax:909-920-5044
Practice Address - Street 1:7319 MILLIKEN AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-6794
Practice Address - Country:US
Practice Address - Phone:909-945-3650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-13
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54560122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist