Organization · NPI-2

A. R. Ghassemi D.D.S., M.S., P.C.

Dentist · San Diego, CA

NPI number1215326947
StatusActive
Last updated in NPPESJan 19, 2015

Details

NPI
1215326947
Entity type
Organization (NPI-2)
Legal business name
A. R. Ghassemi D.D.S., M.S., P.C.
Organization subpart
No
Enumeration date
Jan 19, 2015
Last updated
Jan 19, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist40595CAYes
122300000X Dentist40681CA

Other names

  • Fifth Avenue Dental Arts (Doing Business As)

Practice location

450 A St Ste 200
San Diego, CA 92101-4217

Phone 619-233-3338

Mailing address

450 A St Ste 200
San Diego, CA 92101-4217

Phone 619-233-3338

Authorized official

Ramin Ghassemi
Owner
6192333338

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