Nellie Petronella Tazbaz in San Diego - General Practice
Nellie Petronella Tazbaz - NPI 1366468753
Nellie Petronella Tazbaz is a General Practice in San Diego, California. Nellie Petronella Tazbaz practices all healthcare services and medical treatments related to General Practice. The NPI Number for Nellie Petronella Tazbaz is 1366468753. The last update date is 2008-03-13.
Nellie Petronella Tazbaz's current location address is 3796 Clairemont Dr, San Diego, California. You can contact this provider via phone number 8582735788 and fax number 8582735337. The mailing address for Nellie Petronella Tazbaz is 3796 Clairemont Dr, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nellie Petronella Tazbaz |
|---|---|
| Address | 3796 Clairemont Dr, San Diego, California |
| Phone Number | 8582735788 |
| Fax Number | 8582735337 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1366468753 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2008-03-13 |
Provider Mailing Address Detail
| Address | 3796 Clairemont Dr |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921175916 |
| Phone Number | 8582735788 |
| Fax Number | 8582735337 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 45331 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| B4533101 | CA | DENTI-CAL | |
| B4533101 | CA | HEALTHY FAMILIES/DELTA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Nellie Petronella Tazbaz by the Centers for Medicare & Medicaid Services?
The Nellie Petronella Tazbaz has been issued the NPI (National Provider Identifier) 1366468753, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Nellie Petronella Tazbaz?
The Nellie Petronella Tazbaz is physically situated at 3796 Clairemont Dr, in the city of San Diego, state of CA, with the postal code 921175916.
What is Nellie Petronella Tazbaz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Nellie Petronella Tazbaz is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date was the 1366468753 assigned to Nellie Petronella Tazbaz?
The Nellie Petronella Tazbaz was issued its 1366468753 on 2006-07-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Nellie Petronella Tazbaz most recently updated or revised?
The details related to Nellie Petronella Tazbaz, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-13.