| Diagdental Professional Corporation | |
|
523 E San Ysidro Blvd San Diego CA 92173-3110 | |
| (858) 263-6494 | |
| Not Available |
| Full Name | Diagdental Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 523 E San Ysidro Blvd, San Diego, California |
| Authorized Official Name and Position | Paul Bayat (PRESIDENT) |
| Authorized Official Contact | 9493700739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diagdental Professional Corporation 523 E San Ysidro Blvd San Diego CA 92173-3110 Ph: (949) 370-0739 | Diagdental Professional Corporation 523 E San Ysidro Blvd San Diego CA 92173-3110 Ph: (858) 263-6494 |
| NPI Number | 1689329740 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 03/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689329740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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