Kathy Maasoumi D.d.s Inc.

NPI #1033236484 in Lake Forest, California

Provider Information

NPI Number: 1033236484
Entity Type: Organization
Organization Name: Kathy Maasoumi D.d.s Inc.
Primary Specialty: Dentist
Enumeration Date: Mar 23, 2007
Last Updated: Nov 14, 2014

Practice Location

Address: 22706 ASPAN ST
Address 2: SUITE 602
City: Lake Forest
State: California
ZIP Code: 92630-1603
Phone: (949) 716-7000

Authorized Official

Name: DR. KATHY MAASOUMI, DDS
Title: OWNER
Phone: (949) 716-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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