Provider Demographics
NPI:1740743756
Name:TORREY DEL MAR DENTISTRY
Entity Type:Organization
Organization Name:TORREY DEL MAR DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FAISAL
Authorized Official - Middle Name:AREF
Authorized Official - Last Name:SULEIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:858-484-9090
Mailing Address - Street 1:13859 CARMEL VALLEY RD STE D
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-5665
Mailing Address - Country:US
Mailing Address - Phone:858-484-9090
Mailing Address - Fax:858-484-9211
Practice Address - Street 1:13859 CARMEL VALLEY RD STE D
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-5665
Practice Address - Country:US
Practice Address - Phone:858-484-9090
Practice Address - Fax:858-484-9211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental