Leila Adab, DDS

Individual provider Active NPI General Practice Dentistry · Redlands, CA

NPI 1366801516 · NPPES record last updated Feb 16, 2016

Key facts

NPI
1366801516
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
65351 (CA)
Practice address
11 Tennessee St Apt 198
Redlands, CA 92373-5425
Phone
(310) 775-0741
NPI assigned
Feb 16, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
65351CAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 65351 CA Yes

Addresses

Primary practice location

11 Tennessee St Apt 198
Redlands, CA 92373-5425

Mailing address

11 Tennessee St Apt 198
Redlands, CA 92373-5425
Phone (310) 775-0741

Other providers in Redlands, CA

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

Sources for this page

Verify at the official NPI Registry.