Individual provider · Type 1 NPI

Nellie Petronella Tazbaz, DDS

General Practice Dentistry · San Diego, CA

NPI number 1366468753 Active

About NPI 1366468753

Nellie Petronella Tazbaz, DDS's National Provider Identifier is 1366468753, issued on Jul 15, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Diego, CA. The record was last updated on Mar 13, 2008.