Individual
DR. SHALINI S THATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9420 MIRA MESA BLVD STE G, SAN DIEGO, CA 92126-4848
(858) 271-0600
Mailing address
9420 MIRA MESA BLVD STE G, SAN DIEGO, CA 92126-4848
(858) 271-0600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
010877
CT
1223G0001X
General Practice Dentistry
DI02520800
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
63072
CA
Other
Enumeration date
11/12/2012
Last updated
02/19/2024
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