Provider Demographics
NPI:1073245239
Name:SWEIDAN, HAYA
Entity Type:Individual
Prefix:
First Name:HAYA
Middle Name:
Last Name:SWEIDAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5341 E KELTON LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-1107
Mailing Address - Country:US
Mailing Address - Phone:623-806-5004
Mailing Address - Fax:
Practice Address - Street 1:9145 W THUNDERBIRD RD STE 105
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4820
Practice Address - Country:US
Practice Address - Phone:623-806-5004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0118372122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist