Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider
is Licensed or Credentialed. For more information please refer to
NPI: What You Need to Know
ELMIRA KHODAPANAH D.D.S
Gender: FEMALE
NPI: 1750595195
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Last Updated: | 2009-09-17 | ||
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Details
| Name | Value | ||||||||
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| NPI | 1750595195 | ||||||||
| Enumeration Date | 2007-05-09 | ||||||||
| NPI Type | 1 - Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address |
12079 WORLD TRADE DR UNIT 4
SAN DIEGO, CA 92128-4393 United States Phone: 858-485-8855 | Fax: View Map 
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| Primary Practice Address |
2333 CAMINO DEL RIO S STE 140
SAN DIEGO, CA 92108-3607 United States Phone: 619-574-1810 | Fax: 619-574-1326 View Map
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