Little Star Pediatric Dentistry | |
5550 Carmel Mountain Rd Ste 200 San Diego CA 92130-4861 | |
(619) 630-4000 | |
(619) 630-0241 |
Full Name | Little Star Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 5550 Carmel Mountain Rd Ste 200, San Diego, California |
Authorized Official Name and Position | Najmeh Hannanvash (PEDIATRIC DENTIST) |
Authorized Official Contact | 6196304000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Little Star Pediatric Dentistry 5550 Carmel Mountain Rd Ste 200 San Diego CA 92130-4861 Ph: (619) 630-4000 | Little Star Pediatric Dentistry 5550 Carmel Mountain Rd Ste 200 San Diego CA 92130-4861 Ph: (619) 630-4000 |
NPI Number | 1306384938 |
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Provider Enumeration Date | 02/02/2017 |
Last Update Date | 03/04/2020 |
Identifier | Type | State | Issuer |
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1306384938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 61324 (California) | Primary |
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