Organization
ASGARI DENTAL P.C.
Active
Other names
Kidmazing Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALIREZA PARGAL (MANAGER)
(760) 744-3333
Entity
Organization
Contact information
Practice address
309 S RANCHO SANTA FE RD, SAN MARCOS, CA 92078-2303
(760) 744-3333
(760) 744-3001
Mailing address
309 S RANCHO SANTA FE RD, SAN MARCOS, CA 92078-2303
(760) 744-3333
(760) 744-3001
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
58468
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D58468
DENTI-CAL RENDERING PROVIDER
CA
Enumeration date
06/11/2013
Last updated
04/29/2022
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