Healthcare Provider Details

I. General information

NPI: 1548184898
Provider Name (Legal Business Name): SANAD DULAL DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4221 S H ST
BAKERSFIELD CA
93304-7205
US

IV. Provider business mailing address

2413 CHESHIRE DR
BAKERSFIELD CA
93309-4432
US

V. Phone/Fax

Practice location:
  • Phone: 661-558-0022
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number113741
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: