Individual
DR. TARKAN SIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
8008 FROST ST, SUITE 311, SAN DIEGO, CA 92123-4205
(858) 292-6033
Mailing address
8008 FROST ST, SUITE 311, SAN DIEGO, CA 92123-4205
(858) 292-6033
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019-027754
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
OMS 101
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A122601
CA
Other
Enumeration date
11/07/2007
Last updated
07/21/2014
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