Organization
BAYHO FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALEED STEPHAN DDS (DENTIST/OWNER)
(858) 272-2294
Entity
Organization
Contact information
Practice address
4025 AVATI DR, SAN DIEGO, CA 92117-4403
(858) 272-2294
Mailing address
4025 AVATI DR, SAN DIEGO, CA 92117-4403
(858) 272-2294
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105318
DENTAL
CA
Enumeration date
03/21/2022
Last updated
03/21/2022
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