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
Phone: (619) 425-9930
Fax: (619) 425-9887
Website:
Authorized official contact:
Name: Massoumi, Safoura Doctor of Dental Surgery (DDS)
Phone: (619) 425-9930
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306988118 | NPPES |
California | MEDICAID | G9226501 |
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