Provider Demographics
NPI:1477035962
Name:SAAD, ANTHONY MARK (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:MARK
Last Name:SAAD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 FIRENZE ST
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-8830
Mailing Address - Country:US
Mailing Address - Phone:949-412-8292
Mailing Address - Fax:
Practice Address - Street 1:29 FIRENZE ST
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-8830
Practice Address - Country:US
Practice Address - Phone:949-412-8292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1026681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice