Organization · Type 2 NPI

Hamid Kheradmandnia DDS Inc

Dental Clinic/Center · San Diego, CA

NPI number 1104016179 Active

Practice location

7424 Jackson Dr Ste 9
San Diego, CA 92119-2324

Call (619) 461-9494 Map

Fax (619) 461-9496

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X50620 (CA)

Dental Clinic/Center: Definition to come...

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About NPI 1104016179

Hamid Kheradmandnia DDS Inc's National Provider Identifier is 1104016179, issued on Jul 26, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Diego, CA. The record was last updated on Jul 26, 2007.