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DR. TABASSOM ABULHOSSEINI D.D.S

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1184897985

Individual Registrant:
DR. TABASSOM  ABULHOSSEINI D.D.S
Gender: F
Sole Proprietor

Location and contact information for practice:
31862 COAST HWY SUITE 400 LAGUNA BEACH, CA 92651-6769 US
Tel: 949-218-2676  Fax: 949-218-5352

Contact information for business:
31862 COAST HWY SUITE 400 LAGUNA BEACH, CA 92651-6769 US
Tel: 949-218-2676  Fax: 949-218-5352

Registration Information:
NPI: 1184897985
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA46012

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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