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9280 Mast Blvd Santee CA 92071-2150 | |
| (619) 443-8447 | |
| (619) 443-5450 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9280 Mast Blvd, Santee, California |
| Authorized Official Name and Position | Homayoun Ardjmand (DENTIST) |
| Authorized Official Contact | 6194438447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9280 Mast Blvd Santee CA 92071-2150 Ph: (619) 443-8447 | 9280 Mast Blvd Santee CA 92071-2150 Ph: (619) 443-8447 |
| NPI Number | 1740347178 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 12/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740347178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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