Organization
MEHRAN MASSOUMI DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRAN MASSAOUMI DDS (MEMBER PLLC)
(860) 635-4666
Entity
Organization
Contact information
Practice address
80 SHUNPIKE RD UNIT 201, CROMWELL, CT 06416-4402
(860) 635-4666
Mailing address
80 SHUNPIKE RD UNIT 201, CROMWELL, CT 06416-4402
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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