Organization
DR. MANSOUR
Active
Other names
Aava Dental
Organization subpart
No
Provider details
NPI number
Authorized official
YAHYA MANSOUR (OWNER)
(817) 529-8151
Entity
Organization
Contact information
Practice address
68487 E PALM CANYON DR STE 1, CATHEDRAL CTY, CA 92234-5434
(760) 770-2776
Mailing address
68487 E PALM CANYON DR STE 1, CATHEDRAL CTY, CA 92234-5434
(760) 770-2776
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
58012
CA
Other
Enumeration date
12/19/2012
Last updated
01/23/2013
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