| Hooman Fakhrai Dmd, Inc | |
|
754 Medical Center Ct Ste 201 Chula Vista CA 91911-6656 | |
| (619) 656-9222 | |
| Not Available |
| Full Name | Hooman Fakhrai Dmd, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 754 Medical Center Ct Ste 201, Chula Vista, California |
| Authorized Official Name and Position | Hooman Fakhrai (PRESIDENT) |
| Authorized Official Contact | 6196569222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hooman Fakhrai Dmd, Inc 3252 Via Alicante La Jolla CA 92037-2742 Ph: (858) 336-1442 | Hooman Fakhrai Dmd, Inc 754 Medical Center Ct Ste 201 Chula Vista CA 91911-6656 Ph: (619) 656-9222 |
| NPI Number | 1891207155 |
|---|---|
| Provider Enumeration Date | 10/26/2017 |
| Last Update Date | 10/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891207155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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