Mary Afzali,DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39224 Issued in CA

Legal business name

MARY AFZALI,DDS, INC

Practice address

16776 Bernardo Center Dr Ste 105
San Diego, CA 92128-2558

Phone

(858) 485-0044

Fax

(858) 227-5717

NPI assigned

Jul 14, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Maryam Afzali

Title

DDS

Phone

(858) 485-0044

Specialties & licenses 1

Addresses

Other names 1

• R.B. Family & Cosmetic Dentistry Doing business as

Tax ID family

Mary Afzalidds Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mary Afzali,D.D.S.,Inc.

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1235258419
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1891179438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16776 BERNARDO CENTER DR STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282558",
            "telephone_number": "858-485-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16776 BERNARDO CENTER DR STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282558",
            "telephone_number": "858-485-0044",
            "fax_number": "858-227-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY AFZALI,DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "AFZALI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "858-485-0044",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R.B. Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dhruv Marwha, MD
• Eli Marx-Kahn, RBT
• Michael A Marx, EMT-B
• Samantha Marx, MD
• Mary Afzali,D.D.S.,Inc.
• Mary C Murphy MD
• Mary Jesko & Associates
• Mary Krystal Home LLC
• Mary Lou Ham
• Mary Lydia Engles

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.