Basic Information
| Provider Information | |||||||||
| NPI: | 1912299595 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ABDELKARIM | ||||||||
| FirstName: | MANAL | ||||||||
| MiddleName: | K | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5916 PEBBLE HILL CT | ||||||||
| Address2: | |||||||||
| City: | RANCHO CUCAMONGA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917392609 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9095655211 | ||||||||
| FaxNumber: | 9099205044 | ||||||||
| Practice Location | |||||||||
| Address1: | 7319 MILLIKEN AVE | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | RANCHO CUCAMONGA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917306794 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9099453650 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/13/2011 | ||||||||
| LastUpdateDate: | 07/25/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | 54560 | CA | Y | Dental Providers | Dentist |
No ID Information.