| Shalini Thatte Dmd Inc | |
|
9420 Mira Mesa Blvd Ste G San Diego CA 92126-4848 | |
| (949) 556-0067 | |
| Not Available |
| Full Name | Shalini Thatte Dmd Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9420 Mira Mesa Blvd Ste G, San Diego, California |
| Authorized Official Name and Position | Shalini Sunkanna Thatte (PRESIDENT) |
| Authorized Official Contact | 9495560067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shalini Thatte Dmd Inc 6131 African Holly Trl San Diego CA 92130-6901 Ph: () - | Shalini Thatte Dmd Inc 9420 Mira Mesa Blvd Ste G San Diego CA 92126-4848 Ph: (949) 556-0067 |
| NPI Number | 1306441944 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 12/02/2020 |
| Medicare PECOS PAC ID | 4587009675 |
|---|---|
| Medicare Enrollment ID | O20240228003162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306441944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Shalini S Thatte |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1689918856 PECOS PAC ID: 5496190589 Enrollment ID: I20240228003245 |
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