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Organization

SAYEH MASSOUMI,DENTAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAYEH EMILY MASSOUMI DDS (PRESIDENT/OFFICER)
(714) 623-9282
Entity
Organization

Contact information

Practice address
1010 CALLOWAY DR STE 200B, BAKERSFIELD, CA 93312-6391
(714) 623-9282
Mailing address
11113 ROCKRIDGE WAY, BAKERSFIELD, CA 93311-3564

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1972795953
CA
Enumeration date
12/07/2018
Last updated
12/07/2018
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