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DR. RAKAN ALZWAIDEH D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1942669312

Individual Registrant:
DR. RAKAN  ALZWAIDEH D.D.S.
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: --

Contact information for business:
150 55TH ST  BROOKLYN, NY 11220-2508 US
Tel: 718-630-7284  Fax: --

Registration Information:
NPI: 1942669312
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N122300000XDental Providers
Dentist
NY059332-1
N1223E0200XDental Providers
Dentist
CADDS103857
Y1223E0200XDental Providers
Dentist
CA103857

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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