Individual ProviderTina S FaribaDentistDental ProvidersPractice Address3805 Clairemont Dr, Suite 1, San Diego, CA 92117-5832(858) 278-8434(858) 472-3766PECOS EnrollmentBased on the most recent information from CMS, provider Tina S Fariba 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 ID1952601627Provider TypeIndividualFull NameFariba, Tina STitleDr.CredentialD.D.S.GenderFemaleSole ProprietorYesEnumeration Date10/28/2010Last Updated2/20/2014Contact InformationPractice LocationPractice Address3805 Clairemont Dr, Suite 1, San Diego, CA 92117-5832Phone(858) 278-8434FaxUnlisted FaxMailing LocationMailing Address7155 Sherbourne Ln, San Diego, CA 92129-4656Phone(858) 472-3766FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense59785California