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NPI Code Detail

MEDICARE: DR. ROBERT ANTOINE HADDAD DDS

MEDICARE:  DR. ROBERT ANTOINE HADDAD  DDS
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
11223G0001XGeneral Practice Dentistry30017190OH

General Provider Information

NPI Number : 1578722567
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT ANTOINE HADDAD DDS
Provider Business Mailing Address
First Line : 5510 PEARL RD
Second Line : SUITE 301
City : PARMA
State : OH
Zip : 44129-2550
Country : US
Telephone Number : 440-845-8700
Fax Number :
Provider Business Practice Location Address
First Line : 5510 PEARL RD
Second Line : SUITE 301
City : PARMA
State : OH
Zip : 44129-2550
Country : US
Telephone Number : 440-845-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2008
Last Update Date : 06/04/2008

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Directions to “ DR. ROBERT ANTOINE HADDAD DDS” Practice Location

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