Individual
DR. AFSOON FAZELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
6221 METROPOLITAN ST STE 202, CARLSBAD, CA 92009-3096
(760) 438-1279
Mailing address
2654 PEPPERTREE WAY, CARLSBAD, CA 92009-3073
(206) 218-2010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
106047
CA
Other
Enumeration date
07/02/2015
Last updated
09/03/2024
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