Provider Demographics
NPI:1144382847
Name:ASWAD, SUHIR (DDS)
Entity Type:Individual
Prefix:MRS
First Name:SUHIR
Middle Name:
Last Name:ASWAD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13514 POMERADO RD
Mailing Address - Street 2:SUITE #A
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-3551
Mailing Address - Country:US
Mailing Address - Phone:858-486-2328
Mailing Address - Fax:858-486-2327
Practice Address - Street 1:13514 POMERADO RD
Practice Address - Street 2:SUITE #A
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-3551
Practice Address - Country:US
Practice Address - Phone:858-486-2328
Practice Address - Fax:858-486-2327
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44825122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist