DEL MAR PEDIATRIC & ADOLESCENTS DENTAL GROUP NPI 1972830180

NPI Information

NPI: 1972830180
Provider Name: DEL MAR PEDIATRIC & ADOLESCENTS DENTAL GROUP
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
12750 CARMEL COUNTRY RD STE 215
SAN DIEGO, CA
ZIP 92130
Phone: (858) 259-1400
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DEL MAR PEDIATRIC & ADOLESCENTS DENTAL GROUP is a dental clinic center in San Diego, CA. DEL MAR PEDIATRIC & ADOLESCENTS DENTAL GROUP NPI is 1972830180. The provider is registered as an organization entity type.

The provider's business location address is:

12750 CARMEL COUNTRY RD STE 215
SAN DIEGO, CA
ZIP 92130-172
Phone: (858) 259-1400
Fax: (858) 259-1401

The provider's authorized official is Soudabeh Sharafi .
The authorized official title is Dentist and has the following contact phone number (858) 259-1400.

The enumeration date for this NPI number is 11/9/2009 and was last updated on 11/9/2009.

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	52929	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

NPI Synchronization or Removal

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