| Elmira Khodapanah Dds Inc | |
|
2333 Camino Del Rio S Ste 140 San Diego CA 92108-3607 | |
| (619) 574-1810 | |
| (619) 574-1326 |
| Full Name | Elmira Khodapanah Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2333 Camino Del Rio S Ste 140, San Diego, California |
| Authorized Official Name and Position | Elmira Khodapanah (PRESIDENT) |
| Authorized Official Contact | 8582452426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elmira Khodapanah Dds Inc 12079 World Trade Dr Unit 4 San Diego CA 92128-4393 Ph: (858) 485-8855 | Elmira Khodapanah Dds Inc 2333 Camino Del Rio S Ste 140 San Diego CA 92108-3607 Ph: (619) 574-1810 |
| NPI Number | 1003120148 |
|---|---|
| Provider Enumeration Date | 07/30/2010 |
| Last Update Date | 07/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003120148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43989 (California) | Primary |
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