Organization
WIAM JABBAR, D.D.S.,INC.
Active
Other names
Carmel Village Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WIAM JABBAR DDS (OWNER/DENTIST)
(858) 451-0908
Entity
Organization
Contact information
Practice address
12125 ALTA CARMEL CT STE 330, SAN DIEGO, CA 92128-3841
(858) 451-0908
(858) 451-1880
Mailing address
12125 ALTA CARMEL CT STE 330, SAN DIEGO, CA 92128-3841
(858) 451-0908
(858) 451-1880
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
02/28/2020
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