| Maryam Ghasemyeh Dds Incorporated | |
|
801 N Tustin Ave Suite #400 Santa Ana CA 92705-3612 | |
| (714) 547-9411 | |
| Not Available |
| Full Name | Maryam Ghasemyeh Dds Incorporated |
|---|---|
| Speciality | Dentist |
| Location | 801 N Tustin Ave, Santa Ana, California |
| Authorized Official Name and Position | Maryam Ghasemyeh (CEO) |
| Authorized Official Contact | 7145479411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryam Ghasemyeh Dds Incorporated Po Box 10175 Santa Ana CA 92711-0175 Ph: (714) 547-9411 | Maryam Ghasemyeh Dds Incorporated 801 N Tustin Ave Suite #400 Santa Ana CA 92705-3612 Ph: (714) 547-9411 |
| NPI Number | 1497836803 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 03/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497836803 | NPI | - | NPPES |
| DDS36152 | Other | CA | CA DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DDS36152 (California) | Primary |
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