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General NPI Number Information
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NPI Number | 1669798120
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Entity Type | Organization
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Legal Business Name | WAEL H OBEID DDS INC
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 05/15/2020
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Provider Practice Location Address
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Address Line | 527 N MACLAY AVE
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City | SAN FERNANDO
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State | CA
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Zip | 91340-2424
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Country | US
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Telephone | 818-890-2600
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Fax | 818-890-2608
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Provider Business Mailing Address
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Address Line | 527 N MACLAY AVE
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City | SAN FERNANDO
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State | CA
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Zip | 91340-2424
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Country | US
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Telephone | 818-890-2600
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Fax | 818-890-2608
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Authorized Official
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Title or Position | DENTIST
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Name | DR. WAEL H OBEID
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Credential | DDS
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Telephone | 323-646-3301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 55663
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License Number State | CA
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