IndividualActive
Ahmad Matin Rasul, DDS
NPI 1740804228 · Orthodontics and Dentofacial Orthopedics Dentistry · San Bernardino, CA
Provider details
- NPI number
- 1740804228
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 102762 (CA)
Practice location
159 W Hospitality Ln Ste 201
San Bernardino, CA 92408-3348
Phone: (909) 558-4960
Mailing address
159 W Hospitality Ln Ste 201
San Bernardino, CA 92408-3348
Registry dates
- Enumerated
- 2020-06-01
- Last updated
- 2020-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.