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Organization
MAISSA R. AGHA, D.D.S. INC
Active
Organization
MAISSA R. AGHA, D.D.S. INC
Active
Other names
MAISSA R. AGHA D.D.S., INC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MAISSA RSTOUN AGHA DDS (OWNER)
(714) 827-3441
Entity
Organization
Contact information
Practice address
3441 W BALL RD, SUITE A, ANAHEIM, CA 92804-3723
(714) 827-3441
(714) 827-0232
Mailing address
3441 W BALL RD, SUITE #A, ANAHEIM, CA 92804-3723
(714) 827-3441
(714) 827-0232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43106
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D43106-02
DENTI-CAL
CA
Enumeration date
10/29/2007
Last updated
10/29/2007
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