Vida Namavar, DDS

NPI #1144532672 in San Marcos, California

Provider Information

NPI Number: 1144532672
Entity Type: Individual
Name: Vida Namavar, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 13, 2010
Last Updated: Feb 19, 2014

Practice Location

Address: 670 W SAN MARCOS BLVD
Address 2: STE 103
City: San Marcos
State: California
ZIP Code: 92078-1235
Phone: (619) 850-9320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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