Individual provider · Type 1 NPI

Mirette Attalla

Student in an Organized Health Care Education/Training Program · Fountain Valley, CA

NPI number 1184312977 Active

Practice location

10431 Slater Ave Apt 204
Fountain Valley, CA 92708-7706

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDDS109258 (CA)
General Practice Dentistry 1223G0001XDDS109258 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184312977

Mirette Attalla's National Provider Identifier is 1184312977, issued on Apr 28, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fountain Valley, CA. The record was last updated on Dec 1, 2023.