Provider Demographics
NPI:1154596393
Name:SAYDEH, WADE JOSEPH (DDS)
Entity type:Individual
Prefix:DR
First Name:WADE
Middle Name:JOSEPH
Last Name:SAYDEH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 MAIN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:EL SEGUN DO
Mailing Address - State:CA
Mailing Address - Zip Code:90245
Mailing Address - Country:US
Mailing Address - Phone:310-333-0850
Mailing Address - Fax:310-322-1784
Practice Address - Street 1:311 MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:EL SEGUN DO
Practice Address - State:CA
Practice Address - Zip Code:90245
Practice Address - Country:US
Practice Address - Phone:310-333-0850
Practice Address - Fax:310-322-1784
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA034924122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist