Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nellie Petronella Tazbaz, DDS

Individual provider General Practice Dentistry · NPI 1366468753

Dr. Nellie Petronella Tazbaz, DDS is a General Practice Dentistry in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3796 Clairemont Dr
San Diego, CA 92117-5916
Phone: (858) 273-5788
Fax: (858) 273-5337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 45331 (CA)

Record details

NPI number1366468753
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 15, 2006
Last updated in NPPESMarch 13, 2008

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