| San Marcos Dental Studio | |
|
955 Boardwalk Ste 204 San Marcos CA 92078-2659 | |
| (760) 471-9560 | |
| (760) 471-9574 |
| Full Name | San Marcos Dental Studio |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 955 Boardwalk Ste 204, San Marcos, California |
| Authorized Official Name and Position | Babak Shahrokh (OWNER) |
| Authorized Official Contact | 7604719560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Marcos Dental Studio 365 S Rancho Santa Fe Rd Ste 105 San Marcos CA 92078-2338 Ph: (760) 471-9560 | San Marcos Dental Studio 955 Boardwalk Ste 204 San Marcos CA 92078-2659 Ph: (760) 471-9560 |
| NPI Number | 1194381251 |
|---|---|
| Provider Enumeration Date | 05/14/2019 |
| Last Update Date | 05/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194381251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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