Individual
AFSHIN HABASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10405 TIERRASANTA BLVD, SAN DIEGO, CA 92124-2603
(858) 492-9300
(858) 492-9332
Mailing address
7956 ENTRADA LAZANJA, SAN DIEGO, CA 92127-3620
(702) 338-3474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3207
NV
1223G0001X
General Practice Dentistry
Primary
43789
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506196
—
NV
01
—
1671512
UNITED CONCORDIA PROVIDER
NV
Enumeration date
07/23/2006
Last updated
11/19/2009
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