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General NPI Number Information
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NPI Number | 1750246534
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Entity Type | Organization
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Legal Business Name | ALHALASA DENTAL CORPORATION.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 | 558 S PASEO DOROTEA STE 9
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City | PALM SPRINGS
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State | CA
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Zip | 92264-1429
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Country | US
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Telephone | 760-318-0101
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Fax |
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Provider Business Mailing Address
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Address Line | 558 S PASEO DOROTEA STE 9
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City | PALM SPRINGS
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State | CA
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Zip | 92264-1429
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Country | US
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Telephone | 760-318-0101
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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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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