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Organization
R M TASH DDS APC
Active
Organization
R M TASH DDS APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND MADJIDIAN TASH D D S (PRESIDENT)
(858) 521-0000
Entity
Organization
Contact information
Practice address
11968 BERNARDO PLAZA DR, SAN DIEGO, CA 92128-2538
(858) 521-0000
(858) 521-0404
Mailing address
11968 BERNARDO PLAZA DR, SAN DIEGO, CA 92128-2538
(858) 521-0000
(858) 521-0404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
43564
CA
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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