Dr. Brendan Eghtedar, DDS
Dentist in Camp Pendleton, CA. Individual provider (NPI-1).
NPI number1235492000
StatusActive
Last updated in NPPESJun 18, 2012
Details
- NPI
- 1235492000
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brendan Eghtedar
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2012
- Last updated
- Jun 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 54528 | CA | Yes |
Practice location
555020 Bldg, #1377Camp Pendleton, CA 92055-5020
Phone 866-980-8989
Mailing address
Po Box 17146San Diego, CA 92177-7146
Phone 858-336-6451
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