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Organization

AZITA VAKILI D.M.D., A DENTAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOJTABA ESFAHANI (EMPLOYEE)
(760) 473-1957
Entity
Organization

Contact information

Practice address
530 LOMAS SANTA FE DR STE 3, SOLANA BEACH, CA 92075-1350
(858) 481-5210
Mailing address
530 LOMAS SANTA FE DR STE 3, SOLANA BEACH, CA 92075-1350
(858) 481-5210

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
36443
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1578696183
NPPES
CA
Enumeration date
01/22/2014
Last updated
01/22/2014
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