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Organization
KATHY MAASOUMI D.D.S INC.
Active
Organization
KATHY MAASOUMI D.D.S INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHY MAASOUMI DDS (OWNER)
(949) 716-7000
Entity
Organization
Contact information
Practice address
22706 ASPAN ST, SUITE 602, LAKE FOREST, CA 92630-1603
(949) 716-7000
(949) 716-0600
Mailing address
22706 ASPAN ST, SUITE 602, LAKE FOREST, CA 92630-1603
(949) 716-7000
(949) 716-0600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41949
CA
Other
Enumeration date
03/23/2007
Last updated
11/14/2014
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