Saied Samuel Ahdout in Wildomar - Periodontics
Saied Samuel Ahdout - NPI 1215032115
Saied Samuel Ahdout is a Periodontics in Wildomar, California. Saied Samuel Ahdout practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Saied Samuel Ahdout is 1215032115. The last update date is 2007-07-08.
Saied Samuel Ahdout's current location address is 23905 Clinton Keith Rd, Wildomar, California. You can contact this provider via phone number 9513049700 and fax number 9513049711. The mailing address for Saied Samuel Ahdout is 23905 Clinton Keith Rd, Wildomar, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Saied Samuel Ahdout |
|---|---|
| Address | 23905 Clinton Keith Rd, Wildomar, California |
| Phone Number | 9513049700 |
| Fax Number | 9513049711 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1215032115 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 23905 Clinton Keith Rd |
|---|---|
| City | Wildomar |
| State | California (CA) |
| Post Code | 925957897 |
| Phone Number | 9513049700 |
| Fax Number | 9513049711 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 37772 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identification code issued to Saied Samuel Ahdout by the Centers for Medicare & Medicaid Services?
The Saied Samuel Ahdout has been assigned the NPI (National Provider Identifier) 1215032115 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Saied Samuel Ahdout is physically located?
The Saied Samuel Ahdout is physically situated at the following address: 23905 Clinton Keith Rd, Wildomar, CA, 925957897.
What is Saied Samuel Ahdout's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Saied Samuel Ahdout is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215032115 to Saied Samuel Ahdout?
The Centers for Medicare & Medicaid Services assigned the 1215032115 to Saied Samuel Ahdout on 2006-09-14.
When was the Saied Samuel Ahdout's information last updated?
The Saied Samuel Ahdout's information was last updated on 2007-07-08.
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