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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TARKAN SIDAL, DDS, MD

Active

DR. TARKAN SIDAL, DDS, MD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in SAN DIEGO, California. NPI 1407036502 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · SAN DIEGO, CA

Registration Details

NPI Number
1407036502
Provider Type
Individual
Gender
Male
NPI Issued
Nov 7, 2007 (18.72898210413 yrs)
Last Updated
Jul 21, 2014
Licenses
OMS 101 (CA)
019-027754 (IL)
A122601 (CA)

Practice Information

Address
8008 FROST ST
SUITE 311
SAN DIEGO, CA, 921234205
Browse CA providers · Browse ZIP 92123
Phone
8582926033
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X
Additional Specialty
Dentist

Other Oral & Maxillofacial Surgery (Physician) Providers in SAN DIEGO, CA

Name Credential NPI
DR. JOEL SHELDON BERGER D.D.S.,M.D. 1841218229
ROBERT FERDOWSMAKAN MD, DMD 1255482527
DR. MEHDI B MATIN D.D.S 1487965828
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.