SARA MASOUMI

PHILADELPHIA, PA
NPI1871272864
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: TX  39898)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-07-17
Last Update Date2024-05-20
Business Address
SARA MASOUMI
160 E ERIE AVE
PHILADELPHIA, PA 19134-1011
Phone number: 215-427-8783
Mailing Address
SARA MASOUMI
1409 MIDVALE AVE APT 211
LOS ANGELES, CA 90024-1402
Phone number: 424-426-8030