Organization
ROYA MIRKHAN, DMD, MSD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROYA NAZILA MIRKHAN DMD, MSD (PRESIDENT)
(858) 337-6264
Entity
Organization
Contact information
Practice address
12395 EL CAMINO REAL, SUITE #314, SAN DIEGO, CA 92130-3082
(858) 337-6264
(858) 755-6260
Mailing address
12395 EL CAMINO REAL, SUITE #314, SAN DIEGO, CA 92130-3082
(858) 337-6264
(858) 755-6260
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
44743
CA
Other
Enumeration date
04/02/2007
Last updated
10/22/2010
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