Alaa E Abdel-Maqsoud, DDS

Individual provider Active NPI General Practice Dentistry · Burbank, CA

NPI 1992927958 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992927958
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
33060 (CA)
Practice address
2625 W. Alameda Ave # 508
Burbank, CA 91505
Phone
(818) 563-4668
Fax
(818) 563-1231
NPI assigned
May 2, 2007
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33060 CA Yes

Addresses

Primary practice location

2625 W. Alameda Ave # 508
Burbank, CA 91505

Mailing address

2625 W. Alameda Ave # 508
Burbank, CA 91505
Phone (818) 563-4668

Other providers in Burbank, CA

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

Sources for this page

Verify at the official NPI Registry.