Organization
ZAHRA HASSANTASH DDS MS INC
Active
Other names
Luma Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
SEYEDEH ZAHRA HASSANTASH (CEO)
(626) 589-6025
Entity
Organization
Contact information
Practice address
639 S ESCONDIDO BLVD, ESCONDIDO, CA 92025-4817
(626) 589-6025
Mailing address
801 ASH ST UNIT 803, SAN DIEGO, CA 92101-0814
(626) 589-6025
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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