Provider Demographics
NPI:1417516485
Name:SAIDI DENTAL PC
Entity type:Organization
Organization Name:SAIDI DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WALEED
Authorized Official - Middle Name:MUGALLY
Authorized Official - Last Name:SAIDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-777-2577
Mailing Address - Street 1:8532 131ST ST STE 1
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-2854
Mailing Address - Country:US
Mailing Address - Phone:718-880-1795
Mailing Address - Fax:
Practice Address - Street 1:8532 131ST ST STE 1
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-2854
Practice Address - Country:US
Practice Address - Phone:718-880-1795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty