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Organization
YASSIM GOMES DENTAL CORPORATION
Active
Organization
YASSIM GOMES DENTAL CORPORATION
Active
Other names
CDI Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRAMAIA YASSIM D.D.S. (PRESIDENT)
(562) 330-0557
Entity
Organization
Contact information
Practice address
2690 PACIFIC AVE, SUITE 255, LONG BEACH, CA 90806-2657
(562) 330-0557
Mailing address
2690 PACIFIC AVE, SUITE 255, LONG BEACH, CA 90806
(562) 330-0557
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61093
CA
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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