Organization
BEACH CITIES DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA HADDAD DDS (OWNER)
(310) 870-9652
Entity
Organization
Contact information
Practice address
1801 SOLAR DR STE 290, OXNARD, CA 93030-0155
(310) 870-9652
(805) 278-8837
Mailing address
1801 SOLAR DR STE 290, OXNARD, CA 93030-0155
(805) 278-8887
(805) 278-8837
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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