Provider Demographics
NPI:1801096953
Name:NAJAH HADDAD -HADAYA , DDS A PROF. CORP.
Entity type:Organization
Organization Name:NAJAH HADDAD -HADAYA , DDS A PROF. CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAJAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HADDAD-HADAYA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-840-6960
Mailing Address - Street 1:221 W ALAMEDA AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-3031
Mailing Address - Country:US
Mailing Address - Phone:818-840-6960
Mailing Address - Fax:818-848-5323
Practice Address - Street 1:221 W ALAMEDA AVE STE 101
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-3031
Practice Address - Country:US
Practice Address - Phone:818-840-6960
Practice Address - Fax:818-848-5323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty