OrganizationTarabishi Dds, IncDentistDental ProvidersPractice Address4223 Genesee Ave Ste 109, San Diego, CA 92117-4951(858) 278-2700PECOS EnrollmentBased on the most recent information from CMS, provider Tarabishi Dds, Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1750767851Provider TypeOrganizationFull NameTarabishi Dds, IncSubpartNoEnumeration Date7/31/2015Last Updated7/31/2015Contact InformationPractice LocationPractice Address4223 Genesee Ave Ste 109, San Diego, CA 92117-4951Phone(858) 278-2700FaxUnlisted FaxMailing LocationMailing Address4223 Genesee Ave Ste 109, San Diego, CA 92117-4951Phone(858) 278-2700FaxUnlisted FaxAuthorized OfficialNameTarabishi, Farah Saad (Business Manager)Phone(858) 278-2700Provider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense40890California