Provider Demographics
NPI:1093380040
Name:MILLION DOLLAR SMILE DENTAL GROUP OF DR. ROBAIR ALDAYA DDS INC.
Entity Type:Organization
Organization Name:MILLION DOLLAR SMILE DENTAL GROUP OF DR. ROBAIR ALDAYA DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDAYA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:952-688-8002
Mailing Address - Street 1:3737 MORAGA AVE STE B307
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-5360
Mailing Address - Country:US
Mailing Address - Phone:858-412-5777
Mailing Address - Fax:
Practice Address - Street 1:3737 MORAGA AVE STE B307
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-5360
Practice Address - Country:US
Practice Address - Phone:858-412-5777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental