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NPI Code Detail

MEDICARE: DR. KAMRAN WILLIAM PIRASTEHFAR D.D.S.

MEDICARE:  DR. KAMRAN WILLIAM PIRASTEHFAR  D.D.S.
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
11223G0001XGeneral Practice Dentistry64913CA

General Provider Information

NPI Number : 1700262987
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAMRAN WILLIAM PIRASTEHFAR D.D.S.
Provider Business Mailing Address
First Line : 10405 TIERRASANTA BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92124-2603
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10405 TIERRASANTA BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92124-2603
Country : US
Telephone Number : 858-492-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2015
Last Update Date : 08/10/2015

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Directions to “ DR. KAMRAN WILLIAM PIRASTEHFAR D.D.S.” Practice Location

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