Provider Demographics
NPI:1063128932
Name:HELMI, MUSTAFA RAAD MUHILDEEN (DDS)
Entity type:Individual
Prefix:
First Name:MUSTAFA
Middle Name:RAAD MUHILDEEN
Last Name:HELMI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15514 LAUREL HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-3615
Mailing Address - Country:US
Mailing Address - Phone:832-455-0659
Mailing Address - Fax:
Practice Address - Street 1:23185 HEMLOCK AVE
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92557-8043
Practice Address - Country:US
Practice Address - Phone:951-571-8369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108516122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist