The Safoura Massouri Professional Dental Corp is a Pediatric Dental Clinic in Chula Vista, California. It is located at 397 E St, Ste #a, Chula Vista, CA and its contact number is 619-425-9930. The authorized person for The Safoura Massouri Professional Dental Corp is Safoura Massoumi
who is Owner of the clinic and their contact number is 619-425-9930. The primary license number for The Safoura Massouri Professional Dental Corp is 40677 (Pediatric Dentistry) in California. The Safoura Massouri Professional Dental Corp Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
The Safoura Massouri Professional Dental Corp Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
The Safoura Massouri Professional Dental Corp
Specialization:
Pediatric Dentistry
Clinic Address:
397 E St, Ste #a, Chula Vista, California, 91910
Phone:
619-425-9930
Fax:
619-425-9887
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Safoura Massoumi
Position:
Owner
Contact Number:
619-425-9930
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for The Safoura Massouri Professional Dental Corp clinic are as mentioned below.
NPI Number:
1306988118
NPI Enumeration Date:
12 Feb, 2007
NPI Last Update On:
15 May, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Safoura Massouri Professional Dental Corp are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
40677
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
G9226501
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
The Safoura Massouri Professional Dental Corp 397 E St, Ste #a Chula Vista, California
Zip:
91910
Phone Number:
619-425-9930
Fax Number:
619-425-9887
Patients can reach The Safoura Massouri Professional Dental Corp at 397 E St, Ste #a, Chula Vista, California or can call to book an appointment on 619-425-9930. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.