Provider Demographics
NPI:1083821797
Name:DHAYNI, HUSSEIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HUSSEIN
Middle Name:
Last Name:DHAYNI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5222 BALBOA AVE STE 72
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-6989
Mailing Address - Country:US
Mailing Address - Phone:858-277-5141
Mailing Address - Fax:858-277-4179
Practice Address - Street 1:5222 BALBOA AVE STE 72
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-6989
Practice Address - Country:US
Practice Address - Phone:858-277-5141
Practice Address - Fax:858-277-4179
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901017543122300000X
CA57929122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist