Organization
FROOZ FATOORACHI,DDS,APC
Active
Parent organization
33-778296
Other names
Access Children's Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
33-778296
Authorized official
MS. ALEJANDRA HUITRON (OFFICE MANAGER)
(760) 732-3100
Entity
Organization
Contact information
Practice address
1944 VIA CTR, VISTA, CA 92081-6056
(760) 732-3100
Mailing address
1944 VIA CTR, VISTA, CA 92081-6056
(760) 732-3100
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
41405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427102094
PROVIDER NPI
CA
05
—
1912051418
—
CA
01
—
G92986
MEDICAL
CA
Enumeration date
06/11/2014
Last updated
11/10/2020
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