NPI 1013690106 · live from the CMS NPI Registry
Isaiah Abdelmeseeh, DDS
Dentist, General Practice in Wildomar, CA. National Provider Identifier 1013690106, active.
NPI record
| NPI | 1013690106 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 23905 Clinton Keith Rd, Wildomar, CA 92595 |
| Practice phone | 951-741-3673 |
| Mailing address | 21856 Thimbleberry Ct, Corona, CA 92883 |
| Enumerated | August 7, 2023 |
| Last updated | August 7, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 109037 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.