| Maissa R. Agha, D.d.s. Inc | |
|
3441 W Ball Rd Suite A Anaheim CA 92804-3723 | |
| (714) 827-3441 | |
| (714) 827-0232 |
| Full Name | Maissa R. Agha, D.d.s. Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3441 W Ball Rd, Anaheim, California |
| Authorized Official Name and Position | Maissa Rstoun Agha (OWNER) |
| Authorized Official Contact | 7148273441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maissa R. Agha, D.d.s. Inc 3441 W Ball Rd Suite #a Anaheim CA 92804-3723 Ph: (714) 827-3441 | Maissa R. Agha, D.d.s. Inc 3441 W Ball Rd Suite A Anaheim CA 92804-3723 Ph: (714) 827-3441 |
| NPI Number | 1740469501 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 10/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740469501 | NPI | - | NPPES |
| D43106-02 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43106 (California) | Primary |
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