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Organization
FAHED D. HATTAR DENTAL, INC.
Active
Organization
FAHED D. HATTAR DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MCGARVEY (OFFICE MANAGER)
(760) 243-3595
Entity
Organization
Contact information
Practice address
15366 11TH ST, SUITE F, VICTORVILLE, CA 92395-3726
(760) 243-3595
(760) 243-3472
Mailing address
15366 11TH ST, SUITE F, VICTORVILLE, CA 92395-3726
(760) 243-3595
(760) 243-3472
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52059
CA
Other
Enumeration date
10/01/2012
Last updated
07/20/2015
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