# SALEHPOUR DENTAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kind Dental of La Mesa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063099430
- **Authorized official:** MAYSAM SALEHPOUR (PRESIDENT)
- **Authorized official phone:** (949) 280-3009

## Contact information

- **Practice address:** 5153 JACKSON DR, LA MESA, CA 91942-9021
- **Practice address phone:** (619) 460-2280
- **Practice address fax:** (619) 460-2285
- **Mailing address:** 5153 JACKSON DR, LA MESA, CA 91942-9021
- **Mailing address phone:** (619) 460-2280
- **Mailing address fax:** (619) 460-2285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/24/2021
- **Last updated:** 03/24/2021