Provider Demographics
NPI:1598443467
Name:BARAKAT, HAYA (DMD)
Entity Type:Individual
Prefix:DR
First Name:HAYA
Middle Name:
Last Name:BARAKAT
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 1:13514 POMERADO RD STE A
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-3517
Mailing Address - Country:US
Mailing Address - Phone:858-486-2328
Mailing Address - Fax:
Practice Address - Street 1:13514 POMERADO RD STE A
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-3517
Practice Address - Country:US
Practice Address - Phone:858-380-7011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108932122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist