Healthcare Provider Details

I. General information

NPI: 1841120904
Provider Name (Legal Business Name): GIDEON SAIDARA DDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 W PALMDALE BLVD STE D
PALMDALE CA
93551-4509
US

IV. Provider business mailing address

445 W PALMDALE BLVD STE D
PALMDALE CA
93551-4509
US

V. Phone/Fax

Practice location:
  • Phone: 310-600-1095
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. GIDEON SAIDARA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 310-600-1095