Individual provider · NPI-1

Omar Alnofi

Dentist, General Practice · Orange, CA

NPI number1003653239
StatusActive
Last updated in NPPESJul 15, 2024

Details

NPI
1003653239
Entity type
Individual (NPI-1)
Name
Omar Alnofi
Sex
Male
Sole proprietor
No
Enumeration date
Jul 15, 2024
Certification date
Jul 14, 2024
Last updated
Jul 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice110281CAYes

Practice location

179 N Tustin St
Orange, CA 92867-7716

Phone 714-260-7970

Mailing address

1601 W Civic Center Dr Apt 31
Santa Ana, CA 92703-2963

Phone 714-260-7970

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