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Organization
PAUL MIRDAMADI ORAL SURGERY INC
Active
Organization
PAUL MIRDAMADI ORAL SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MIRDAMADI DDS,MS (CEO/SURGEON)
(213) 259-4867
Entity
Organization
Contact information
Practice address
511 ENCINITAS BLVD STE 118, ENCINITAS, CA 92024-3781
(213) 259-4867
Mailing address
1647 MILAN WAY, SAN MARCOS, CA 92078-1085
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/21/2026
Last updated
09/21/2026
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