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Organization
MISSION VALLEY DENTAL ARTS
Active
Organization
MISSION VALLEY DENTAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELMIRA KHODAPANAH DDS (DOCTOR)
(619) 574-1810
Entity
Organization
Contact information
Practice address
2333 CAMINO DEL RIO S STE 140, SAN DIEGO, CA 92108-3607
(619) 574-1810
(619) 574-1326
Mailing address
2333 CAMINO DEL RIO S STE 140, SAN DIEGO, CA 92108-3607
(619) 574-1810
(619) 574-1326
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
43989
CA
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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