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Organization
TARAPOREWALLA DENTAL CORPORATION
Active
Organization
TARAPOREWALLA DENTAL CORPORATION
Active
Other names
College Avenue Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
RISHAAD TARAPOREWALLA DMD (OWNER)
(619) 398-0624
Entity
Organization
Contact information
Practice address
4585 COLLEGE AVE STE B, SAN DIEGO, CA 92115-4011
(619) 398-0624
(619) 399-3714
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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