Sayeh Massoumi,dental Corporation | |
1010 Calloway Dr Ste 200b Bakersfield CA 93312-6391 | |
(714) 623-9282 | |
Not Available |
Full Name | Sayeh Massoumi,dental Corporation |
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Speciality | Clinic/center - Dental |
Location | 1010 Calloway Dr Ste 200b, Bakersfield, California |
Authorized Official Name and Position | Sayeh Emily Massoumi (PRESIDENT/OFFICER) |
Authorized Official Contact | 7146239282 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sayeh Massoumi,dental Corporation 11113 Rockridge Way Bakersfield CA 93311-3564 Ph: () - | Sayeh Massoumi,dental Corporation 1010 Calloway Dr Ste 200b Bakersfield CA 93312-6391 Ph: (714) 623-9282 |
NPI Number | 1720559339 |
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Provider Enumeration Date | 12/07/2018 |
Last Update Date | 12/07/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720559339 | NPI | - | NPPES |
1972795953 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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