| Kathy Maasoumi D.d.s Inc. | |
|
22706 Aspan St Suite 602 Lake Forest CA 92630-1603 | |
| (949) 716-7000 | |
| (949) 716-0600 |
| Full Name | Kathy Maasoumi D.d.s Inc. |
|---|---|
| Speciality | Dentist |
| Location | 22706 Aspan St, Lake Forest, California |
| Authorized Official Name and Position | Kathy Maasoumi (OWNER) |
| Authorized Official Contact | 9497167000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Maasoumi D.d.s Inc. 22706 Aspan St Suite 602 Lake Forest CA 92630-1603 Ph: (949) 716-7000 | Kathy Maasoumi D.d.s Inc. 22706 Aspan St Suite 602 Lake Forest CA 92630-1603 Ph: (949) 716-7000 |
| NPI Number | 1033236484 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 11/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033236484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41949 (California) | Primary |
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