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NPI Code Detail

MEDICARE: AVEN ALBAYATI D.D.S.

MEDICARE:   AVEN  ALBAYATI  D.D.S.
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
1122300000XDentist100282CA

General Provider Information

NPI Number : 1447600523
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVEN ALBAYATI D.D.S.
Provider Business Mailing Address
First Line : 1917 CORONA VIS
Second Line :
City : EL CAJON
State : CA
Zip : 92019-4262
Country : US
Telephone Number : 619-820-7743
Fax Number :
Provider Business Practice Location Address
First Line : 1917 CORONA VIS
Second Line :
City : EL CAJON
State : CA
Zip : 92019-4262
Country : US
Telephone Number : 619-820-7743
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2016
Last Update Date : 06/20/2016

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Directions to “ AVEN ALBAYATI D.D.S.” Practice Location

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