Organization
DAOUD DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASAN DAOUD D.D.S (DENTIST)
(858) 598-5842
Entity
Organization
Contact information
Practice address
5210 BALBOA AVE, SUITE A-2, SAN DIEGO, CA 92117-6958
(858) 598-5842
Mailing address
5210 BALBOA AVE, SUITE A-2, SAN DIEGO, CA 92117-6958
(858) 598-5842
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
59297
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205156122
TYPE 1 NPI
CA
Enumeration date
06/16/2015
Last updated
06/16/2015
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