The Safoura Massouri Professional Dental Corp in Chula Vista - Pediatric Dentistry
The Safoura Massouri Professional Dental Corp - NPI 1306988118
The Safoura Massouri Professional Dental Corp is a Pediatric Dentistry in Chula Vista, California. The Safoura Massouri Professional Dental Corp practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for The Safoura Massouri Professional Dental Corp is 1306988118. The last update date is 2015-05-15.
The Safoura Massouri Professional Dental Corp's current location address is 397 E St, Chula Vista, California. You can contact this provider via phone number 6194259930 and fax number 6194259887. The mailing address for The Safoura Massouri Professional Dental Corp is 397 E St, Chula Vista, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Safoura Massouri Professional Dental Corp |
|---|---|
| Address | 397 E St, Chula Vista, California |
| Phone Number | 6194259930 |
| Fax Number | 6194259887 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Massoumi Safoura |
| Credentials | D.D.S. |
| Telephone Number | 6194259930 |
NPI Number Detail
| NPI Number | 1306988118 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2015-05-15 |
Provider Mailing Address Detail
| Address | 397 E St |
|---|---|
| City | Chula Vista |
| State | California (CA) |
| Post Code | 91910 |
| Phone Number | 6194259930 |
| Fax Number | 6194259887 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 40677 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G9226501 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to The Safoura Massouri Professional Dental Corp by the Centers for Medicare & Medicaid Services (CMS)?
The The Safoura Massouri Professional Dental Corp has been assigned the NPI (National Provider Identifier) 1306988118. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where The Safoura Massouri Professional Dental Corp is physically located?
The The Safoura Massouri Professional Dental Corp is situated at the following address: 397 E St, Chula Vista, CA 91910.
What is The Safoura Massouri Professional Dental Corp's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for The Safoura Massouri Professional Dental Corp is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306988118 to The Safoura Massouri Professional Dental Corp?
The Centers for Medicare & Medicaid Services originally issued the 1306988118 to The Safoura Massouri Professional Dental Corp on 2007-02-12.
When was the information pertaining to The Safoura Massouri Professional Dental Corp most recently updated or revised?
The details related to The Safoura Massouri Professional Dental Corp, including its address, specialty, and other relevant information, were last updated or revised on 2015-05-15.