Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Vanessa Mahrou, DMD

Individual provider Public Health Dentistry · NPI 1174214688

Dr. Vanessa Mahrou, DMD is a Public Health Dentistry in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4060 Fairmount Ave
San Diego, CA 92105-1608
Phone: (619) 255-9155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 108772 (CA)
Public Health Dentistry Taxonomy 1223D0001X · Licence 108772 (CA)

Record details

NPI number1174214688
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 16, 2023
Last updated in NPPESMay 21, 2023
Certification dateMay 21, 2023

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