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Organization

EIAD HADDAD DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EIAD HALIM HADDAD DDS (CEO)
(619) 660-6633
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
44888
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B 44888-01
MEDICAL
CA
Enumeration date
04/14/2008
Last updated
04/14/2008
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