# AZITA VAKILI D.M.D., A DENTAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407279805
- **Authorized official:** MOJTABA ESFAHANI (EMPLOYEE)
- **Authorized official phone:** (760) 473-1957

## Contact information

- **Practice address:** 530 LOMAS SANTA FE DR STE 3, SOLANA BEACH, CA 92075-1350
- **Practice address phone:** (858) 481-5210
- **Mailing address:** 530 LOMAS SANTA FE DR STE 3, SOLANA BEACH, CA 92075-1350
- **Mailing address phone:** (858) 481-5210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 36443 | CA | Yes |

## Other

- **Enumeration date:** 01/22/2014
- **Last updated:** 01/22/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1578696183 | NPPES | CA |