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Organization
TARABISHI DDS INC.
Active
Organization
TARABISHI DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMAD TARABISHI D.D.S. (DENTIST)
(858) 278-2700
Entity
Organization
Contact information
Practice address
6465 BALBOA AVE STE B, SAN DIEGO, CA 92111-3155
(858) 278-2700
(858) 278-2789
Mailing address
6465 BALABOA AVE SUIT B, SAN DIEGO, CA 92111
(858) 278-2700
(858) 278-2789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40890
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B4089001
NATIONAL PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/19/2010
Last updated
11/19/2010
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