Paul, Tahir R

Paul, Tahir R is an individual health care provider with primary practice located at 625 W Citracado Pkwy Suite 208, Escondido CA 92025-6428. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Paul, Tahir R can be contacted via phone (760) 745-7070.

Contact Information

Primary practice address
625 W Citracado Pkwy Suite 208 Escondido CA 92025-6428
Fax: (760) 745-7077
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 52449 California

Profile Details

NPI number 1992834840
LBN Legal business name Paul, Tahir R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Aug 20th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992834840 NPPES
California MEDICAID D52449

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