Thaer Basim Alqadoumi, DDS, MS Valid NPI
Individual provider · Periodontics · Indio, CA
- NPI
- 1487000592
- Type
- Individual (Type 1)
- Primary specialty
- Periodontics (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223P0300X
- License number
- 100200 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2016-05-06
- Last updated
- 2022-10-16
Practice location
81735 Us Highway 111, Suite A
Indio, CA 92201-0713
(760) 238-4533