Provider Demographics
NPI:1750144747
Name:HUSSAINY OMFS INC
Entity type:Organization
Organization Name:HUSSAINY OMFS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIRWAIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSAINY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-295-4840
Mailing Address - Street 1:3927 WARING RD STE A&B
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-4458
Mailing Address - Country:US
Mailing Address - Phone:760-295-4840
Mailing Address - Fax:760-295-1034
Practice Address - Street 1:3927 WARING RD STE A&B
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-4458
Practice Address - Country:US
Practice Address - Phone:760-295-4840
Practice Address - Fax:760-295-1034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty