Healthcare Provider Details

I. General information

NPI: 1922713825
Provider Name (Legal Business Name): ALHAMDI & FARIS DENTAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2023
Last Update Date: 01/16/2023
Certification Date: 01/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8790 CUYAMACA ST STE E
SANTEE CA
92071-4295
US

IV. Provider business mailing address

8790 CUYAMACA ST STE E
SANTEE CA
92071-4295
US

V. Phone/Fax

Practice location:
  • Phone: 619-596-0144
  • Fax:
Mailing address:
  • Phone: 619-596-0144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SINAN ALHAMDI
Title or Position: PRESIDENT
Credential: DMD
Phone: 314-532-3914