Omer M Anisso DDS INC

NPI #1952714149 in Encinitas, California

Provider Information

NPI Number: 1952714149
Entity Type: Organization
Organization Name: Omer M Anisso DDS INC
Primary Specialty: Dentist
Enumeration Date: Jun 5, 2014
Last Updated: Feb 9, 2022

Practice Location

Address: 501 N EL CAMINO REAL STE 200
City: Encinitas
State: California
ZIP Code: 92024-1335
Phone: (760) 436-2452

Authorized Official

Name: OMER ANISSO, DDS
Title: OWNER
Phone: (760) 436-2452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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