Provider Demographics
NPI:1124683586
Name:DR VAHEED BAYETTE DDS DENTAL CORPORATION
Entity type:Organization
Organization Name:DR VAHEED BAYETTE DDS DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VAHEED
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYETTE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-298-9839
Mailing Address - Street 1:2221 CAMINO DEL RIO S STE 107
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3609
Mailing Address - Country:US
Mailing Address - Phone:619-298-9839
Mailing Address - Fax:619-298-2907
Practice Address - Street 1:2221 CAMINO DEL RIO S STE 107
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3609
Practice Address - Country:US
Practice Address - Phone:619-298-9839
Practice Address - Fax:619-298-2907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty