Individual
DR. PAUL MIRDAMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
511 ENCINITAS BLVD STE 118-120, ENCINITAS, CA 92024-3775
(213) 259-4867
Mailing address
511 ENCINITAS BLVD STE 118-120, ENCINITAS, CA 92024-3775
(213) 259-4867
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D011746
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DDS104753
CA
Other
Enumeration date
07/27/2018
Last updated
12/31/2025
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