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Dr. Nellie Petronella Tazbaz, DDS
General Practice Dentistry in San Diego, California
NPI 1366468753

Nellie Petronella Tazbaz is a General Practice Dentistry based in San Diego, CA and is specialized in General Practice. Nellie Petronella Tazbaz practices in San Diego, CA and has the professional credentials of DDS. The NPI Number for Nellie Petronella Tazbaz is 1366468753 and holds a License No. 45331 (California).

The current practice location address for Nellie Petronella Tazbaz is 3796 Clairemont Dr, San Diego, CA and can be reached out via phone at 858-273-5788 and via fax at 858-273-5337.

Location: 3796 Clairemont Dr, San Diego, CA, 92117-5916
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Provider Profile Details
NPI Number
1366468753
Provider Name
Nellie Petronella Tazbaz
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3796 Clairemont Dr, San Diego, CA, 92117-5916
Phone Number
858-273-5788
Fax Number
858-273-5337
Provider Enumeration Date
07/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B4533101 01 CA DENTI-CAL
B4533101 01 CA HEALTHY FAMILIES/DELTA
institution
Provider Business Practice Location Address Details
Address
3796 Clairemont Dr
City
State
Zip
92117-5916
Phone Number
858-273-5788
Fax Number
858-273-5337
person
Provider Business Mailing Address Details
Address
3796 Clairemont Dr
City
State
Zip
92117-5916
Phone Number
858-273-5788
Fax Number
858-273-5337
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
45331 (California)
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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