Provider Demographics
NPI:1427379676
Name:SAAD, RADWA (DMD)
Entity Type:Individual
Prefix:
First Name:RADWA
Middle Name:
Last Name:SAAD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 QUAKERBRIDGE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1010
Mailing Address - Country:US
Mailing Address - Phone:609-890-1888
Mailing Address - Fax:609-890-4040
Practice Address - Street 1:3800 QUAKERBRIDGE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1010
Practice Address - Country:US
Practice Address - Phone:609-890-1888
Practice Address - Fax:609-890-4040
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-22
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI024353001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice