| Fahed D. Hattar Dental, Inc. | |
|
15366 11th St Suite F Victorville CA 92395-3726 | |
| (760) 243-3595 | |
| (760) 243-3472 |
| Full Name | Fahed D. Hattar Dental, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15366 11th St, Victorville, California |
| Authorized Official Name and Position | Tina Mcgarvey (OFFICE MANAGER) |
| Authorized Official Contact | 7602433595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fahed D. Hattar Dental, Inc. 15366 11th St Suite F Victorville CA 92395-3726 Ph: (760) 243-3595 | Fahed D. Hattar Dental, Inc. 15366 11th St Suite F Victorville CA 92395-3726 Ph: (760) 243-3595 |
| NPI Number | 1083965933 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 07/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083965933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52059 (California) | Primary |
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