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Organization

FERESHTEH MAGHSOUDY DMD INC

Active
Other names
La Jolla Village Dental Office
Organization subpart
No

Provider details

NPI number
Authorized official
FERESHTEH MAGHSOUDY DMD (DENTIST/PRESIDENT)
(858) 558-3490
Entity
Organization

Contact information

Practice address
8950 VILLA LA JOLLA DR STE B207, LA JOLLA, CA 92037-1725
(858) 558-3490
(858) 558-3188
Mailing address
8950 VILLA LA JOLLA DRIVE #B207, LA JOLLA, CA 92037-1725
(858) 558-3490
(858) 558-3188

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
44022
CA

Other

Enumeration date
09/25/2013
Last updated
09/25/2013
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