Healthcare Provider Details

I. General information

NPI: 1053570291
Provider Name (Legal Business Name): DR. MARK SAYED D.M.D. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2008
Last Update Date: 06/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32341 CAMINO CAPISTRANO STE H
SAN JUAN CAPISTRANO CA
92675-4514
US

IV. Provider business mailing address

32341 CAMINO CAPISTRANO STE H
SAN JUAN CAPISTRANO CA
92675-4514
US

V. Phone/Fax

Practice location:
  • Phone: 949-493-3993
  • Fax: 949-493-9562
Mailing address:
  • Phone: 949-493-3993
  • Fax: 949-493-9562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK SAYED
Title or Position: OWNER
Credential: D.M.D.
Phone: 949-493-9339