Basic Information
Provider Information
NPI: 1891881751
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DAWOOD
FirstName: NAJLAA
MiddleName: FAWZI
NamePrefix:  
NameSuffix:  
Credential: DDS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9188 LAKE VALLEY RD
Address2:  
City: EL CAJON
State: CA
PostalCode: 920211974
CountryCode: US
TelephoneNumber: 9173539408
FaxNumber:  
Practice Location
Address1: 2990 JAMACHA RD
Address2:  
City: EL CAJON
State: CA
PostalCode: 920194376
CountryCode: US
TelephoneNumber: 6196701700
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/05/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
122300000X51250CAY Dental ProvidersDentist 

No ID Information.


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