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The Safoura Massouri Professional Dental Corp
Pediatric Dentist in Chula Vista, California
NPI 1306988118

The Safoura Massouri Professional Dental Corp is a Pediatric Dentist based in Chula Vista, CA and is specialized in Pediatric Dentistry. The Safoura Massouri Professional Dental Corp practices in Chula Vista, CA. The NPI Number for The Safoura Massouri Professional Dental Corp is 1306988118 and holds a License No. 40677 (California).

The current practice location address for The Safoura Massouri Professional Dental Corp is 397 E St, Chula Vista, CA and can be reached out via phone at 619-425-9930 and via fax at 619-425-9887.

Location: 397 E St, Chula Vista, CA, 91910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306988118
Provider Name
The Safoura Massouri Professional Dental Corp
Credential
Provider Entity Type
Organization
Address
397 E St, Chula Vista, CA, 91910
Phone Number
619-425-9930
Fax Number
619-425-9887
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G9226501 05 CA
institution
Provider Business Practice Location Address Details
Address
397 E St
City
Chula Vista
State
California
Zip
91910
Phone Number
619-425-9930
Fax Number
619-425-9887
person
Provider Business Mailing Address Details
Address
397 E St
City
Chula Vista
State
California
Zip
91910
Phone Number
619-425-9930
Fax Number
619-425-9887
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
40677 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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