# DR. MANSOUR

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

## Provider details

- **NPI number:** 1780920702
- **Authorized official:** YAHYA MANSOUR (OWNER)
- **Authorized official phone:** (817) 529-8151

## Contact information

- **Practice address:** 68487 E PALM CANYON DR STE 1, CATHEDRAL CTY, CA 92234-5434
- **Practice address phone:** (760) 770-2776
- **Mailing address:** 68487 E PALM CANYON DR STE 1, CATHEDRAL CTY, CA 92234-5434
- **Mailing address phone:** (760) 770-2776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 58012 | CA | Yes |

## Other

- **Enumeration date:** 12/19/2012
- **Last updated:** 01/23/2013