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Contact Information

MAMDOUH ALRATA, DDS
3155 PHOENIX CENTER DR
WASHINGTON, MO63090-5689
 Phone: 630-550-7406
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for MAMDOUH ALRATA · (Male)

NPI # 1902321367
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/07/2017
Last updated 02/01/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2020037677
  • WA License # DE60694174
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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