Provider Demographics
NPI:1972603504
Name:AL RASHEED, MANUELA ILONA (DMD)
Entity type:Individual
Prefix:DR
First Name:MANUELA
Middle Name:ILONA
Last Name:AL RASHEED
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 DONATELLO DR
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-8618
Mailing Address - Country:US
Mailing Address - Phone:724-864-0578
Mailing Address - Fax:
Practice Address - Street 1:828 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666-1730
Practice Address - Country:US
Practice Address - Phone:724-547-4462
Practice Address - Fax:724-547-4311
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030305-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice