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Organization
MANIJEH HOSSEINI MAROON, DDS, PC
Active
Organization
MANIJEH HOSSEINI MAROON, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MAROON DDS (VP)
(619) 409-1400
Entity
Organization
Contact information
Practice address
1177 BROADWAY, SUITE 19, CHULA VISTA, CA 91911-2769
(619) 409-1400
(619) 409-1441
Mailing address
1177 BROADWAY STE 19, CHULA VISTA, CA 91911-2771
(619) 409-1400
(619) 409-1441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40946
CA
Other
Enumeration date
05/22/2007
Last updated
05/05/2026
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