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DR. ALI ASGARI D.D.S.

Pediatric Dentistry

San Marcos, California

Provider NPI: 1053449439

Provider Information:
DR. ALI  ASGARI D.D.S.
Gender: M
Sole Proprietor


Practice Location:
327 S RANCHO SANTA FE RD SUITE G SAN MARCOS, CA 92078 US
Tel: 917-747-6193  Fax: 760-744-3001

Business Mailing Address:
327 S RANCHO SANTA FE RD SUITE G SAN MARCOS, CA 92078 US
Tel: 917-747-6193  Fax: 760-744-3001

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0221XDental Providers
Dentist
Pediatric Dentistry
NY50 052367
N1223P0221XDental Providers
Dentist
CA58468

Other Provider Identifiers:

IssuerNumberStateType
MEDI-CAL1053449439CA01
02804222NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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