Individual
DR. MEHDI B MATIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
9855 ERMA RD STE 100, SAN DIEGO, CA 92131-1007
(858) 536-2900
(858) 271-0529
Mailing address
11921 CARMEL CREEK RD APT 310, SAN DIEGO, CA 92130-2659
(206) 486-4946
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DR 60288665
WA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DDS60860
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DR60288665
WA
390200000X
Student in an Organized Health Care Education/Training Program
12011690A
IN
Other
Enumeration date
06/30/2010
Last updated
05/10/2023
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