| Tarabishi Dds Inc. | |
|
6465 Balboa Ave Ste B San Diego CA 92111-3155 | |
| (858) 278-2700 | |
| (858) 278-2789 |
| Full Name | Tarabishi Dds Inc. |
|---|---|
| Speciality | Dentist |
| Location | 6465 Balboa Ave Ste B, San Diego, California |
| Authorized Official Name and Position | Mohamad Tarabishi (DENTIST) |
| Authorized Official Contact | 8582782700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarabishi Dds Inc. 6465 Balaboa Ave Suit B San Diego CA 92111 Ph: (858) 278-2700 | Tarabishi Dds Inc. 6465 Balboa Ave Ste B San Diego CA 92111-3155 Ph: (858) 278-2700 |
| NPI Number | 1821390030 |
|---|---|
| Provider Enumeration Date | 11/19/2010 |
| Last Update Date | 11/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821390030 | NPI | - | NPPES |
| B4089001 | Other | NATIONAL PROVIDER IDENTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40890 (California) | Primary |
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