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Organization
VIDA NAMAVAR D.D.S., INC.
Active
Organization
VIDA NAMAVAR D.D.S., INC.
Active
Other names
Vida Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIDA NAMAVAR D.D.S (OWNER/DDS)
(619) 850-9320
Entity
Organization
Contact information
Practice address
670 W SAN MARCOS BLVD, SUITE 103, SAN MARCOS, CA 92078-1235
(619) 850-9320
Mailing address
670 W SAN MARCOS BLVD, SUITE 103, SAN MARCOS, CA 92078-1235
(619) 850-9320
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/02/2013
Last updated
02/24/2014
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