Individual
MARK DALLAS HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA DISPENSER AUDIOP
Contact information
Practice address
6888 LINCOLN AVE, SUITE E & H, BUENA PARK, CA 90620
(714) 229-9178
(714) 229-9187
Mailing address
PO BOX 6539, BUENA PARK, CA 90622
(714) 229-9178
(714) 229-9187
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA3988
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HA0039880
—
CA
Enumeration date
07/26/2006
Last updated
03/06/2008
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