MEDICARE: ROKAYA SAAD DDS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	42880	CA

General Provider Information

NPI Number	:	1427255900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROKAYA SAAD DDS INC

Provider Business Mailing Address
First Line	:	12009 GARFIELD AVE
Second Line	:
City	:	SOUTH GATE
State	:	CA
Zip	:	90280-7822
Country	:	US
Telephone Number	:	562-630-7777
Fax Number	:	562-630-2929

Provider Business Practice Location Address
First Line	:	12009 GARFIELD AVE
Second Line	:
City	:	SOUTH GATE
State	:	CA
Zip	:	90280-7822
Country	:	US
Telephone Number	:	562-630-7777
Fax Number	:	562-630-2929

Authorized Official
Title or Position	:	MGR
Name	:	KHAMIS SAAD
Credential	:
Telephone Number	:	562-630-7777

Provider Enumeration Date	:	06/28/2007
Last Update Date	:	06/02/2009

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