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Individual

ROBERT FERDOWSMAKAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, DMD

Contact information

Practice address
4765 CARMEL MOUNTAIN RD STE 105, SAN DIEGO, CA 92130-6657
(858) 481-8248
(858) 481-8612
Mailing address
4765 CARMEL MOUNTAIN RD STE 105, SAN DIEGO, CA 92130-6657
(858) 481-8248
(858) 481-8612

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
49312
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A94751
CA

Other

Enumeration date
01/15/2007
Last updated
09/11/2025
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