Wathiq Khamis DDS Dental Corporation

Organization Active NPI General Practice Dentistry · Cutler, CA

NPI 1194445155 · NPPES record last updated Aug 30, 2022

Key facts

NPI
1194445155
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
WATHIQ KHAMIS DDS DENTAL CORPORATION
Practice address
40625 Road 128
Cutler, CA 93615-2003
Phone
(559) 596-9231
NPI assigned
Aug 30, 2022
Organization subpart
No

Authorized official

Name
Wathiq Khamis, DDS
Title
Owner
Phone
(831) 905-9070

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

40625 Road 128
Cutler, CA 93615
Phone (559) 528-2222

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

40625 Road 128
Cutler, CA 93615-2003

Mailing address

2839 Isabel Ave
Clovis, CA 93611-6085
Phone (831) 905-9070

Other providers in Cutler, CA

All providers in Cutler, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.