Maged Mohareb
Denturist
10800 Se 17th Cir Apt 230
Vancouver
, Washington 98664-6222
(310) 663-3678
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About
Features
Specialties
- Denturist
Languages spoken
- English
Location
First Address
- Maged Mohareb
- 10800 Se 17th Cir Apt 230
- Vancouver, WA
- Zip : 98664-6222
- Phone : (310) 663-3678
Second Address
- Maged Mohareb
- 10800 Se 17th Cir Apt 230
- Vancouver, WA
- Zip : 98664-6222
- Phone : (310) 663-3678
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122400000X | Denturist | DN60669859 | WA |
National Provider Identifier
| NPI | 1710429170 |
|---|---|
| Provider Name | Maged Mohareb |
| First Address | Vancouver, WA 98664-6222 |
| Second Address | Vancouver, WA 98664-6222 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2016 |
| Last Update Date | 15/11/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.