El Dorado Family Dental

Organization Active NPI Dentist · El Dorado Hills, CA

NPI 1417464181 · NPPES record last updated Jan 4, 2018

Key facts

NPI
1417464181
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
52577 (CA)
Legal business name
EL DORADO FAMILY DENTAL
Practice address
4944 Windplay Dr Ste 301
El Dorado Hills, CA 95762-9310
Phone
(530) 444-4944
Fax
(530) 404-0444
NPI assigned
Jan 4, 2018
Organization subpart
Yes
Parent organization (as reported)
ALBIK DENTAL INC

Authorized official

Name
Mohamad Taisir Albik, DDS, AFAAID
Title
President
Phone
(310) 920-9703

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
El Dorado Family Dental (2 organizations share this tax ID)
Part of
El Dorado Family Dental

Locations

4944 Windplay Dr
Ste 301
El Dorado Hills, CA 95762
Phone (530) 444-4944

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193200000X MULTI-SPECIALTY GROUP
122300000X 52577 CA Yes

Addresses

Primary practice location

4944 Windplay Dr Ste 301
El Dorado Hills, CA 95762-9310

Mailing address

4944 Windplay Dr Ste 301
El Dorado Hills, CA 95762-9310
Phone (530) 444-4944

Other providers in El Dorado Hills, CA

All providers in El Dorado Hills, CA · Dentist in California

Sources for this page

Verify at the official NPI Registry.