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NPI Code Detail

MEDICARE: TARLAN SEDAGHAT DMD

MEDICARE:   TARLAN  SEDAGHAT  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0700XProsthodonticsDDS109445CA

General Provider Information

NPI Number : 1467199521
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARLAN SEDAGHAT DMD
Provider Business Mailing Address
First Line : 1136 D AVE
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-3412
Country : US
Telephone Number : 619-662-4100
Fax Number :
Provider Business Practice Location Address
First Line : 1136 D AVE
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-3412
Country : US
Telephone Number : 619-662-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2022
Last Update Date : 07/17/2025

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Directions to “ TARLAN SEDAGHAT DMD” Practice Location

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