| Torrey Pines Oral And Maxillofacial Surgery | |
|
12395 El Camino Real, Suite 304 Torrey Pines Oral & Maxillofacial Surgery San Diego CA 92130 | |
| (858) 793-3393 | |
| Not Available |
| Full Name | Torrey Pines Oral And Maxillofacial Surgery |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 12395 El Camino Real, Suite 304, San Diego, California |
| Authorized Official Name and Position | Tarkan Sidal (PRESIDENT) |
| Authorized Official Contact | 3125058656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Torrey Pines Oral And Maxillofacial Surgery 12395 El Camino Real, Suite 304 Torrey Pines Oral & Maxillofacial Surgery San Diego CA 92130 Ph: (858) 793-3393 | Torrey Pines Oral And Maxillofacial Surgery 12395 El Camino Real, Suite 304 Torrey Pines Oral & Maxillofacial Surgery San Diego CA 92130 Ph: (858) 793-3393 |
| NPI Number | 1659753762 |
|---|---|
| Provider Enumeration Date | 06/25/2015 |
| Last Update Date | 06/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659753762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | OMS 101 (California) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | A122601 (California) | Primary |
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