| Roya Mirkhan, Dmd, Msd, Inc. | |
|
12395 El Camino Real Suite #314 San Diego CA 92130-3082 | |
| (858) 337-6264 | |
| (858) 755-6260 |
| Full Name | Roya Mirkhan, Dmd, Msd, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12395 El Camino Real, San Diego, California |
| Authorized Official Name and Position | Roya Nazila Mirkhan (PRESIDENT) |
| Authorized Official Contact | 8583376264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roya Mirkhan, Dmd, Msd, Inc. 12395 El Camino Real Suite #314 San Diego CA 92130-3082 Ph: (858) 337-6264 | Roya Mirkhan, Dmd, Msd, Inc. 12395 El Camino Real Suite #314 San Diego CA 92130-3082 Ph: (858) 337-6264 |
| NPI Number | 1396866000 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 10/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396866000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 44743 (California) | Primary |
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