| Melrose Square Dental Office | |
|
1680 S Melrose Dr Ste 108 Vista CA 92081-5472 | |
| (760) 727-6800 | |
| Not Available |
| Full Name | Melrose Square Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1680 S Melrose Dr Ste 108, Vista, California |
| Authorized Official Name and Position | Mojdeh Tajbakhsh (DENTIST) |
| Authorized Official Contact | 7607276800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melrose Square Dental Office 1477 San Pablo Dr San Marcos CA 92078-4701 Ph: () - | Melrose Square Dental Office 1680 S Melrose Dr Ste 108 Vista CA 92081-5472 Ph: (760) 727-6800 |
| NPI Number | 1700169323 |
|---|---|
| Provider Enumeration Date | 09/20/2011 |
| Last Update Date | 09/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700169323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60377 (California) | Primary |
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