Organization
BAYDOUN DENTAL CORPORATION
Active
Other names
Mira Mesa Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ALIA H BAYDOUN DDS (OWNER)
(619) 704-2536
Entity
Organization
Contact information
Practice address
8997 MIRA MESA BLVD, SAN DIEGO, CA 92126-2738
(619) 704-2536
(619) 754-9379
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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