Organization
SHALINI THATTE DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHALINI SUNKANNA THATTE DMD (PRESIDENT)
(949) 556-0067
Entity
Organization
Contact information
Practice address
9420 MIRA MESA BLVD STE G, SAN DIEGO, CA 92126-4848
(949) 556-0067
Mailing address
6131 AFRICAN HOLLY TRL, SAN DIEGO, CA 92130-6901
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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