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MAISSA RSTOUM AGHA DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1982792115

Individual Registrant:
 MAISSA RSTOUM AGHA DDS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3441 W BALL RD #A ANAHEIM, CA 92804 US
Tel: 714-827-3441  Fax: 714-827-0232

Contact information for business:
3441 W BALL RD #A ANAHEIM, CA 92804 US
Tel: 714-827-3441  Fax: 714-827-0232

Registration Information:
NPI: 1982792115
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA43106

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DENTI CALB4310602CA01




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