Provider Demographics
NPI:1861587909
Name:ABOU-RIZK, RABIH F (DDS)
Entity type:Individual
Prefix:DR
First Name:RABIH
Middle Name:F
Last Name:ABOU-RIZK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:ROBBY
Other - Middle Name:F
Other - Last Name:ABOU-RIZK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:145 COLUMBINE DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-3106
Mailing Address - Country:US
Mailing Address - Phone:336-722-8154
Mailing Address - Fax:336-722-1900
Practice Address - Street 1:145 COLUMBINE DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3106
Practice Address - Country:US
Practice Address - Phone:336-722-8154
Practice Address - Fax:336-722-1900
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC75711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice