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Organization
MELROSE SQUARE DENTAL OFFICE
Active
Organization
MELROSE SQUARE DENTAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOJDEH TAJBAKHSH (DENTIST)
(760) 727-6800
Entity
Organization
Contact information
Practice address
1680 S MELROSE DR STE 108, VISTA, CA 92081-5472
(760) 727-6800
Mailing address
1477 SAN PABLO DR, SAN MARCOS, CA 92078-4701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60377
CA
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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