Provider Demographics
NPI:1720890353
Name:NADA MIKHAIL DMD INC
Entity type:Organization
Organization Name:NADA MIKHAIL DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NADA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIKHAIL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:714-363-8240
Mailing Address - Street 1:125 W ORANGETHORPE AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-2901
Mailing Address - Country:US
Mailing Address - Phone:714-871-1932
Mailing Address - Fax:714-871-5733
Practice Address - Street 1:125 W ORANGETHORPE AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-2901
Practice Address - Country:US
Practice Address - Phone:714-871-1932
Practice Address - Fax:714-871-5733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty