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Individual
LYADIA L HAKIM
Active
Individual
LYADIA L HAKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35113
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
335113-01
CA MEDICAL DENTAL PROGRAM
CA
01
—
35113
BOARD OF DENTAL EXAMINERS
CA
Enumeration date
09/08/2006
Last updated
07/08/2007
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