Afsaneh Matin in Long Beach - Pediatric Dentistry
Afsaneh Matin - NPI 1609901305
Afsaneh Matin is a Pediatric Dentistry in Long Beach, California. Afsaneh Matin practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Afsaneh Matin is 1609901305. The last update date is 2007-07-08.
Afsaneh Matin's current location address is 455 E Columbia St, Long Beach, California. You can contact this provider via phone number 5629333141 and fax number 5629332049. The mailing address for Afsaneh Matin is 455 E Columbia St, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Afsaneh Matin |
|---|---|
| Address | 455 E Columbia St, Long Beach, California |
| Phone Number | 5629333141 |
| Fax Number | 5629332049 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1609901305 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 455 E Columbia St |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908061620 |
| Phone Number | 5629333141 |
| Fax Number | 5629332049 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 41854 |
|
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. |
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What is the Afsaneh Matin's 1609901305?
The Afsaneh Matin's NPI (National Provider Identifier) Number is 1609901305. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Afsaneh Matin's facilities are situated?
The facilities of Afsaneh Matin are physically located at the following address: 455 E Columbia St, Long Beach, CA, 908061620.
What is Afsaneh Matin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Afsaneh Matin's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
When was the Afsaneh Matin's 1609901305 issued?
The Afsaneh Matin's 1609901305 was issued on 2007-02-22.
As of what date was the information regarding Afsaneh Matin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Afsaneh Matin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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