Organization
MAHMOOD D.D.S., DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRUSKA MAHMOOD DDS (PRESIDENT/DENTIST)
(619) 287-1990
Entity
Organization
Contact information
Practice address
6475 ALVARADO RD STE 205, SAN DIEGO, CA 92120-5013
(619) 287-0990
Mailing address
6475 ALVARADO RD STE 205, SAN DIEGO, CA 92120-5013
(619) 287-0990
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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