| Fazeli Dds Inc. | |
|
6221 Metropolitan St Ste 202 Carlsbad CA 92009-3096 | |
| (760) 438-1279 | |
| (760) 438-8793 |
| Full Name | Fazeli Dds Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6221 Metropolitan St Ste 202, Carlsbad, California |
| Authorized Official Name and Position | Afsoon Fazeli (OWNER, CEO) |
| Authorized Official Contact | 2062182010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fazeli Dds Inc. 2654 Peppertree Way Carlsbad CA 92009-3073 Ph: (206) 218-2010 | Fazeli Dds Inc. 6221 Metropolitan St Ste 202 Carlsbad CA 92009-3096 Ph: (760) 438-1279 |
| NPI Number | 1164245296 |
|---|---|
| Provider Enumeration Date | 11/06/2024 |
| Last Update Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164245296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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