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General NPI Number Information
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NPI Number | 1013872894
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Entity Type | Organization
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Legal Business Name | ODAY ALHALASA DDS,MSD.INC
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 71780 SAN JACINTO DR STE B3
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-5517
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Country | US
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Telephone | 760-779-0350
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Fax | 760-779-0348
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Provider Business Mailing Address
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Address Line | 71780 SAN JACINTO DR STE B3
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-5517
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Country | US
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Telephone | 760-779-0350
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Fax | 760-779-0348
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Authorized Official
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Title or Position | OWNER /CEW
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Name | DR. EDDIE HALASA
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Credential | DDS,MSD
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Telephone | 661-717-7611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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