# ALWAN & BADAWI DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326511932
- **Authorized official:** KHALED ALWAN D.D.S. (OWNER)
- **Authorized official phone:** (619) 444-0500

## Contact information

- **Practice address:** 2451 JAMACHA ROAD, SUITE 104, EL CAJON, CA 92019
- **Practice address phone:** (619) 444-0500
- **Practice address fax:** (619) 444-2803
- **Mailing address:** 2451 JAMACHA ROAD, SUITE 104, EL CAJON, CA 92019
- **Mailing address phone:** (619) 444-0500
- **Mailing address fax:** (619) 444-2803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2019
- **Last updated:** 01/16/2019