Organization
BITA TAHVILDARI, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BITA TAHVILDARI DDS (OWNER)
(619) 295-5261
Entity
Organization
Contact information
Practice address
3588 4TH AVE, SUITE 300, SAN DIEGO, CA 92103-4981
(619) 295-5261
(619) 295-5706
Mailing address
3588 4TH AVE, SUITE 300, SAN DIEGO, CA 92103-4981
(619) 295-5261
(619) 295-5706
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40776
CA
Other
Enumeration date
05/01/2013
Last updated
09/03/2013
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