| Beddawi, DDS | |
|
2204 Grant Rd Ste 202 Mountain View CA 94040-3877 | |
| (650) 800-9414 | |
| (650) 800-9460 |
| Full Name | Beddawi, DDS |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2204 Grant Rd Ste 202, Mountain View, California |
| Authorized Official Name and Position | Yarah Beddawi (PRESIDENT) |
| Authorized Official Contact | 6508009414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beddawi, DDS 2204 Grant Rd Ste 202 Mountain View CA 94040-3877 Ph: (650) 800-9414 | Beddawi, DDS 2204 Grant Rd Ste 202 Mountain View CA 94040-3877 Ph: (650) 800-9414 |
| NPI Number | 1861143497 |
|---|---|
| Provider Enumeration Date | 01/14/2022 |
| Last Update Date | 01/14/2022 |
| Certification Date | 01/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861143497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | () | Primary |
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