# EIAD HADDAD DDS INC

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

## Provider details

- **NPI number:** 1851565659
- **Authorized official:** DR. EIAD HALIM HADDAD DDS (CEO)
- **Authorized official phone:** (619) 660-6633

## Contact information

- **Practice address:** 10225 AUSTIN DR STE 205, SPRING VALLEY, CA 91978-1522
- **Practice address phone:** (619) 660-6633
- **Mailing address:** 10225 AUSTIN DR STE 205, SPRING VALLEY, CA 91978-1522
- **Mailing address phone:** (619) 660-6633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 44888 | CA | Yes |

## Other

- **Enumeration date:** 04/14/2008
- **Last updated:** 04/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | B 44888-01 | MEDICAL | CA |