NPI 1275833956 · live from the CMS NPI Registry
4030 Dental INC.
Dentist in San Diego, CA. National Provider Identifier 1275833956, active.
NPI record
| NPI | 1275833956 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 6175 El Cajon Blvd, San Diego, CA 92115 |
| Practice phone | 630-567-6373 |
| Enumerated | October 27, 2010 |
| Last updated | October 27, 2010 |
| Authorized official | Rawaa Aldairi, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.