Individual
DR. JAY IBRAHIM HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6550 MERCANTILE DR E STE 101, FREDERICK, MD 21703-7656
(301) 694-0870
(301) 694-7034
Mailing address
7625 MAPLE LAWN BLVD, SUITE 240, FULTON, MD 20759-2565
(301) 617-3404
(301) 617-3407
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13498
MD
Other
Enumeration date
12/13/2005
Last updated
02/21/2023
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