Individual provider · NPI-1

Maissa Rstoum Agha, DDS

Dentist, General Practice · Anaheim, CA

NPI number1982792115
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1982792115
Entity type
Individual (NPI-1)
Name
Maissa Rstoum Agha
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Oct 11, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice43106CAYes

Practice location

3441 W Ball Rd
#a
Anaheim, CA 92804

Phone 714-827-3441 · Fax 714-827-0232

Mailing address

3441 W Ball Rd
#a
Anaheim, CA 92804

Phone 714-827-3441 · Fax 714-827-0232

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