RAY DERAKSHAN, D.M.D.
Managed Care Organizations in San Diego, CA

License number
California 46044
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. RAY DERAKSHAN D.M.D.
Title: OWNER/DENTIST
Phone: (858) 485-1010
Address
Address
11134 Rancho Carmel Dr Suite #103, San Diego, CA 92128
National Provider ID: 1255579793
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RAY DERAKSHAN, D.M.D., INC

11134 Rancho Carmel Dr STE 103, San Diego, CA 92128

Industry:
Dentist's Office
Registration:
May 5, 2000
State ID:
C2190834
Business type:
Articles of Incorporation
President:
Ray Derakshan (President)

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