Individual provider · NPI-1

Dr. Aladdin J Al-Ardah, dds

Dentist · Riverside, CA

NPI number1417019043
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1417019043
Entity type
Individual (NPI-1)
Name
Dr. Aladdin J Al-Ardah
Credential
dds
Sex
Male
Sole proprietor
No
Enumeration date
Dec 13, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist52037CAYes

Practice location

3485 Madison St
Riverside, CA 92504-3716

Phone 951-688-7105

Mailing address

24780 Tulip Ave
Loma Linda, CA 92354-3404

Phone 909-796-3696

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