Individual provider · NPI-1

Dr. Lana H Alawwad Haddad

Dentist, General Practice · Tempe, AZ

NPI number1205482163
StatusActive
Last updated in NPPESSep 17, 2019

Details

NPI
1205482163
Entity type
Individual (NPI-1)
Name
Dr. Lana H Alawwad Haddad
Sex
Female
Sole proprietor
No
Enumeration date
Aug 15, 2019
Last updated
Sep 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice10453AZYes

Practice location

1080 W Elliot Rd
Tempe, AZ 85284-1111

Phone 650-784-6267

Mailing address

1080 W Elliot Rd
Tempe, AZ 85284-1111

Phone 650-784-6267

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