Provider Demographics
NPI:1194944066
Name:ROFAEL, NAWAL NAZEER (DDS)
Entity type:Individual
Prefix:MRS
First Name:NAWAL
Middle Name:NAZEER
Last Name:ROFAEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11938 S HAWTHORNE BLVD
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90250-3016
Mailing Address - Country:US
Mailing Address - Phone:310-973-0945
Mailing Address - Fax:310-973-2135
Practice Address - Street 1:11938 S HAWTHORNE BLVD
Practice Address - Street 2:
Practice Address - City:HAWTHORNE CITY
Practice Address - State:CA
Practice Address - Zip Code:90250-3016
Practice Address - Country:US
Practice Address - Phone:310-973-0945
Practice Address - Fax:310-973-2135
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37486122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist