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DR. RAKAN ALZWAIDEH D.D.S.
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1942669312
Individual Registrant:DR. RAKAN ALZWAIDEH D.D.S.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
7625 VIA CAMPANILE STE 130 CARLSBAD, CA 92009-8489 US
Tel: 760-633-1653 Fax: --
Tel: 760-633-1653 Fax: --
Contact information for business:
150 55TH ST BROOKLYN, NY 11220-2508 US
Tel: 718-630-7284 Fax: --
Tel: 718-630-7284 Fax: --
Registration Information:
NPI: 1942669312
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 122300000X | Dental Providers Dentist | NY | 059332-1 |
| N | 1223E0200X | Dental Providers Dentist | CA | DDS103857 |
| Y | 1223E0200X | Dental Providers Dentist | CA | 103857 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
