# ALLEN MOSSAEI A PROFESSIONAL DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brilliant Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588956684
- **Authorized official:** ALLEN MOSSAEI DDS (OWNER/DENTIST)
- **Authorized official phone:** (661) 369-8910

## Contact information

- **Practice address:** 2701 MING AVE SPC 221, BAKERSFIELD, CA 93304-4441
- **Practice address phone:** (661) 369-8910
- **Practice address fax:** (661) 369-8914
- **Mailing address:** 2701 MING AVE SPC 221, BAKERSFIELD, CA 93304-4441
- **Mailing address phone:** (661) 369-8910
- **Mailing address fax:** (661) 369-8914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 59083 | CA | Yes |

## Other

- **Enumeration date:** 05/06/2011
- **Last updated:** 05/06/2011