Miguel Mastache

Dentist · Tijuana, BAJA CALIFORNIA

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At a glance

Calle 4A Esquina Ave F 595, Tijuana, BAJA CALIFORNIA 22000

NPPES record updated Oct 18, 2016. Public records can lag behind changes at a practice.

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Are you accepting new patients?
Do you accept my specific insurance plan?
Do you provide the service I need at this address?
Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

Calle 4A Esquina Ave F 595 Zona Centro
Tijuana, BAJA CALIFORNIA 22000

Professional details: NPI, taxonomy & registry record

NPI1063963668

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Registry details

Primary taxonomy: Dentist
Taxonomy code: 122300000X
Enumeration date: Oct 18, 2016
Record updated: Oct 18, 2016

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Dentist

122300000X · Primary

License reported: 6493848 ZZ

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

Calle 4A Esquina Ave F 595
Zona Centro
Tijuana, BAJA CALIFORNIA 22000

Phone: (664) 685-0560
Fax: (866) 272-6924

Mailing address

4275 EXECUTIVE SQ
STE 200
LA JOLLA, CA 920379123

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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