Organization
AWWAD & KHASATI DDS INC
Active
Other names
Awwad Husein Khasati Semrien DDS Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHADI KAMEL KHASATI DDS (PARTNER IN THE CORPORATE)
(909) 213-5196
Entity
Organization
Contact information
Practice address
44066 MARGARITA RD, SUITE #1, TEMECULA, CA 92592
(951) 742-7774
Mailing address
10100 VIA PESCA NERO, MORENO VALLEY, CA 92557
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CA
1223G0001X
General Practice Dentistry
—
CA
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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