Provider Demographics
NPI:1982720553
Name:FAHIT, MARIA FE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:FE
Last Name:FAHIT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:FE
Other - Last Name:FAHIT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:21604 S VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-1940
Mailing Address - Country:US
Mailing Address - Phone:310-328-1452
Mailing Address - Fax:310-328-1257
Practice Address - Street 1:21604 S VERMONT AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-1940
Practice Address - Country:US
Practice Address - Phone:310-328-1452
Practice Address - Fax:310-328-1257
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA460561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice