Organization
AHMED MANASSRA DMD PC
Active
Other names
MANASSRA DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED MANASSRA (CEO)
(408) 913-5946
Entity
Organization
Contact information
Practice address
841 BLOSSOM HILL RD STE 202, SAN JOSE, CA 95123-2708
(408) 809-7760
Mailing address
841 BLOSSOM HILL RD STE 202, SAN JOSE, CA 95123-2708
(408) 809-7760
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/21/2025
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