Individual
KIMIA MANSOURIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4327 GOLDEN CENTER DR, PLACERVILLE, CA 95667-6287
(530) 621-7700
(888) 491-9601
Mailing address
4327 GOLDEN CENTER DR, PLACERVILLE, CA 95667-6287
(530) 621-7700
(888) 491-9601
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH27348
CA
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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