MORI KHATIBZADEH DDS INC. NPI 1548782923

NPI Information

NPI: 1548782923
Provider Name: MORI KHATIBZADEH DDS INC.

Other Name: BLUE MOUNTAIN DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
6171 MISSION GORGE ROAD
SUITE #114
SAN DIEGO, CA
ZIP 92120
Phone: (858) 617-9051
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MORI KHATIBZADEH DDS INC. is a dental clinic center in San Diego, CA. MORI KHATIBZADEH DDS INC. NPI is 1548782923. The provider is registered as an organization entity type.
The provider Other Name Is Blue Mountain Dentistry.

The provider's business location address is:

6171 MISSION GORGE ROAD
SUITE #114
SAN DIEGO, CA
ZIP 92120
Phone: (858) 617-9051

The provider's authorized official is Morteza Khatibzad .
The authorized official title is Dentist and has the following contact phone number (858) 617-9051.

The enumeration date for this NPI number is 7/7/2017 and was last updated on 7/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	55489	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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