NPI | 1740469501 |
---|---|
Former Legal Business Name | MAISSA R. AGHA D.D.S., INC |
Entity Type | Organization |
Authorized Contact | MAISSA RSTOUN AGHA Owner 714-827-3441 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43106) |
Enumeration Date | 2007-10-29 |
Last Update Date | 2007-10-29 |