Vida Namavar D.d.s., Inc.

NPI #1609205426 in San Marcos, California

Provider Information

NPI Number: 1609205426
Entity Type: Organization
Organization Name: Vida Namavar D.d.s., Inc.
Primary Specialty: Dentist
Enumeration Date: Nov 2, 2013
Last Updated: Feb 24, 2014

Practice Location

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

Authorized Official

Name: DR. VIDA NAMAVAR, D.D.S
Title: OWNER/DDS
Phone: (619) 850-9320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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