Provider Demographics
NPI:1316539471
Name:HASAN KHALID DDS INC
Entity Type:Organization
Organization Name:HASAN KHALID DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HASAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:KHALID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-714-1185
Mailing Address - Street 1:6663 EL CAJON BLVD STE C&D
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115-2848
Mailing Address - Country:US
Mailing Address - Phone:214-714-1185
Mailing Address - Fax:
Practice Address - Street 1:6663 EL CAJON BLVD STE C&D
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-2848
Practice Address - Country:US
Practice Address - Phone:214-714-1185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental