Childrens Primary Dental Care & Adult Dental Group

LBN: The Safoura Massouri Professional Dental Corp
Childrens Primary Dental Care & Adult Dental Group is an health care organization with primary practice located at 397 E St Ste #A, Chula Vista CA 91910. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. The Safoura Massouri Professional Dental Corp can be contacted via phone (619) 425-9930, or through Massoumi, Safoura via phone (619) 425-9930.

Contact Information

Primary practice address
397 E St Ste #A Chula Vista CA 91910
Fax: (619) 425-9887
Website:
Authorized official contact:
Name: Massoumi, Safoura Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 40677 California

Profile Details

NPI number 1306988118
LBN Legal business name The Safoura Massouri Professional Dental Corp
DBA Doing business as Childrens Primary Dental Care & Adult Dental Group
Authorized official Massoumi, Safoura Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated May 15th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306988118 NPPES
California MEDICAID G9226501

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