Individual
DR. RAKAN ALZWAIDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7625 VIA CAMPANILE STE 130, CARLSBAD, CA 92009-8489
(760) 633-1653
Mailing address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7284
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
059332-1
NY
1223E0200X
Endodontics
Primary
103857
CA
1223E0200X
Endodontics
DDS103857
CA
Other
Enumeration date
02/15/2016
Last updated
07/16/2019
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