| Samuel Hayatt Dmd Inc. | |
|
2260 Otay Lakes Rd 110 Chula Vista CA 91915-1005 | |
| (619) 482-5555 | |
| (619) 482-5155 |
| Full Name | Samuel Hayatt Dmd Inc. |
|---|---|
| Speciality | Dentist |
| Location | 2260 Otay Lakes Rd, Chula Vista, California |
| Authorized Official Name and Position | Samuel Hayatt (OWNER) |
| Authorized Official Contact | 6194825555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Hayatt Dmd Inc. 2260 Otay Lakes Rd 110 Chula Vista CA 91915-1005 Ph: (619) 482-5555 | Samuel Hayatt Dmd Inc. 2260 Otay Lakes Rd 110 Chula Vista CA 91915-1005 Ph: (619) 482-5555 |
| NPI Number | 1851665871 |
|---|---|
| Provider Enumeration Date | 03/08/2012 |
| Last Update Date | 03/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851665871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55781 (California) | Primary |
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