Safoura Massoumi Professional Dental Corp.
Pediatric Dental Clinic
397 E Street Suite A, Chula Vista
California, 91910
619-425-9930 619-425-9887
Maps & DirectionsSafoura Massoumi Professional Dental Corp. is a Pediatric Dental Clinic in Chula Vista, California. It is located at 397 E Street Suite A, Chula Vista, CA and its contact number is 619-425-9930. The authorized person for Safoura Massoumi Professional Dental Corp. is David Velazquez
who is Office Manager of the clinic and their contact number is 619-425-9930. The primary license number for Safoura Massoumi Professional Dental Corp. is 40677 (Pediatric Dentistry) in California.
Safoura Massoumi 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:
Safoura Massoumi 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: | Safoura Massoumi Professional Dental Corp. |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 397 E Street Suite 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: | David Velazquez |
| Position: | Office Manager |
| 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 Safoura Massoumi Professional Dental Corp. clinic are as mentioned below.
| NPI Number: | 1356471460 |
| NPI Enumeration Date: | 07 Mar, 2007 |
| NPI Last Update On: | 27 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 Safoura Massoumi 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 |
| G9226502 | 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: | Safoura Massoumi Professional Dental Corp.
397 E Street Suite A,
Chula Vista, California |
| Zip: | 91910 |
| Phone Number: | 619-425-9930 |
| Fax Number: | 619-425-9887 |
Patients can reach Safoura Massoumi Professional Dental Corp. at
397 E Street Suite A, Chula Vista, California or can
call to book an appointment on 619-425-9930.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.