NPI 1003120148

Elmira Khodapanah DDS INC

Organisation General Practice Dentistry San Diego, CA

Practice location

Address: 2333 Camino del Rio S STE 140, San Diego, CA 92108-3607
Phone: (619) 574-1810
Fax: (619) 574-1326
Mailing address: 12079 World Trade Dr Unit 4, San Diego, CA 92128-4393

Authorised official

Name: Elmira Khodapanah
Title: President
Phone: (858) 245-2426

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 43989 (CA)

Other Dentist providers in California →

Registry record

NPI: 1003120148
Entity type: Organization
NPI issued: 30 Jul 2010
Record last updated: 30 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.