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Organization

KIDS SMILE PEDIATRIC DENTISTRY

Active
Parent organization
AMINOLLAH BAGHERI, DDS, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMINOLLAH BAGHERI, DDS, INC.
Authorized official
DR. AMINOLLAH BAGHERI DDS (OWNER)
(858) 776-2899
Entity
Organization

Contact information

Practice address
3142 VISTA WAY STE 305, OCEANSIDE, CA 92056-3629
(760) 529-9846
(760) 529-9846
Mailing address
3142 VISTA WAY STE 305, OCEANSIDE, CA 92056-3629
(760) 529-9846
(760) 529-9846

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
56340
CA

Other

Enumeration date
03/01/2011
Last updated
03/01/2011
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