Kathy Maasoumi D.d.s Inc.

NPI 1033236484 - Dentist - 122300000X

NPI Details
NPI 1033236484
Enumeration Date 03/23/2007
Last Updated 11/14/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KATHY KATHY
Position OWNER
Phone (949) 716-7000
Fax (949) 716-0600
Practice Location
22706 ASPAN ST
SUITE 602
LAKE FOREST CA, 92630-1603, US
Phone (949) 716-7000
Fax (949) 716-0600
Business Location
22706 ASPAN ST
SUITE 602
LAKE FOREST CA, 92630-1603, US
Phone (949) 716-7000
Fax (949) 716-0600
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 41949
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According to our database, Kathy Maasoumi D.d.s Inc. NPI is 1033236484, taxonomy code is 122300000X and license number is 41949, license state is located at California. Kathy Maasoumi D.d.s Inc. physically located at 22706 Aspan St, Lake Forest CA, 92630-1603. NPI Number 1033115704 has the healthcare provider type.

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1033236484 NPI number is provided on an as is basis without warranty of any kind. 1033236484 is maintained by the National Plan & Provider Enumeration System. The contents of Kathy Maasoumi D.d.s Inc. are for informational purposes only.