| Bita Tahvildari, D.d.s. | |
|
3588 4th Ave Suite 300 San Diego CA 92103-4981 | |
| (619) 295-5261 | |
| (619) 295-5706 |
| Full Name | Bita Tahvildari, D.d.s. |
|---|---|
| Speciality | Dentist |
| Location | 3588 4th Ave, San Diego, California |
| Authorized Official Name and Position | Bita Tahvildari (OWNER) |
| Authorized Official Contact | 6192955261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bita Tahvildari, D.d.s. 3588 4th Ave Suite 300 San Diego CA 92103-4981 Ph: (619) 295-5261 | Bita Tahvildari, D.d.s. 3588 4th Ave Suite 300 San Diego CA 92103-4981 Ph: (619) 295-5261 |
| NPI Number | 1376988675 |
|---|---|
| Provider Enumeration Date | 05/01/2013 |
| Last Update Date | 09/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376988675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40776 (California) | Primary |
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