NPI 1003299892

Roya Mirkhan,dmd,msd,inc.

Organisation Dentist San Diego, CA

Practice location

Address: 12395 El Camino Real Suite Number 314, San Diego, CA 92130-3082
Phone: (858) 337-6264
Fax: (858) 755-6260
Mailing address: 12395 El Camino Real Suite Number 314, San Diego, CA 92130

Authorised official

Name: Roya Nazila Mirkhan
Title: President
Phone: (858) 337-6264

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 44743 (CA)

Other Dentist providers in California →

Periodontics

Dental Providers Taxonomy 1223P0300X Licence 44743 (CA)

Registry record

NPI: 1003299892
Entity type: Organization
NPI issued: 30 Jun 2015
Record last updated: 30 Jun 2015

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.