Agha, Maissa Rstoum
Agha, Maissa Rstoum is an individual health care provider with primary practice located at 3441 W Ball Rd #A, Anaheim CA 92804. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Agha, Maissa Rstoum can be contacted via phone (714) 827-3441.Contact Information
Primary practice address
3441 W Ball Rd #A
Anaheim CA 92804
Phone: (714) 827-3441
Fax: (714) 827-0232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 43106 | California |
Profile Details
| NPI number | 1982792115 |
|---|---|
| LBN Legal business name | Agha, Maissa Rstoum |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982792115 | NPPES |
| California | Other | B4310602 | DENTI CAL |
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