| Tierrasanta Dental Group | |
|
10405 Tierrasanta Blvd San Diego CA 92124-2603 | |
| (858) 492-3900 | |
| (858) 492-9332 |
| Full Name | Tierrasanta Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10405 Tierrasanta Blvd, San Diego, California |
| Authorized Official Name and Position | Katayoun Afshar (OWNER DDS) |
| Authorized Official Contact | 8584929300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tierrasanta Dental Group 2860 Michelle 2nd Floor Irvine CA 92606-1009 Ph: (714) 508-3600 | Tierrasanta Dental Group 10405 Tierrasanta Blvd San Diego CA 92124-2603 Ph: (858) 492-3900 |
| NPI Number | 1033217526 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033217526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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