DR. Kathy Maasoumi, D.D.S.

NPI #1407998941 in Lake Forest, California

Provider Information

NPI Number: 1407998941
Entity Type: Individual
Name: DR. Kathy Maasoumi, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Feb 13, 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) 307-6437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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