Provider Demographics
NPI:1326341371
Name:SADEK DDS INC.,
Entity type:Organization
Organization Name:SADEK DDS INC.,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YASSER
Authorized Official - Middle Name:EMAD
Authorized Official - Last Name:SADEK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:206-606-9598
Mailing Address - Street 1:247 E PALMDALE BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-4567
Mailing Address - Country:US
Mailing Address - Phone:661-266-0300
Mailing Address - Fax:661-266-0900
Practice Address - Street 1:247 E PALMDALE BLVD STE B
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-4567
Practice Address - Country:US
Practice Address - Phone:661-266-0300
Practice Address - Fax:661-266-0900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-14
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA432931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty