Provider Demographics
NPI:1427345750
Name:DAHER, DEEMA MARIA (DDS)
Entity type:Individual
Prefix:DR
First Name:DEEMA
Middle Name:MARIA
Last Name:DAHER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 SW 62ND BLVD
Mailing Address - Street 2:#113
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-6012
Mailing Address - Country:US
Mailing Address - Phone:310-574-2993
Mailing Address - Fax:
Practice Address - Street 1:4910 VAN NUYS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1718
Practice Address - Country:US
Practice Address - Phone:818-783-5234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10181223E0200X
CA623091223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics