Individual
DR. BITA FARHOUMAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2487 WELLSPRING ST, CARLSBAD, CA 92010-5605
(703) 981-3185
Mailing address
2487 WELLSPRING ST, CARLSBAD, CA 92010-5605
(703) 981-3185
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401412973
VA
1223P0300X
Periodontics
Primary
DDS61201
CA
Other
Enumeration date
09/24/2011
Last updated
06/01/2023
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