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MAISSA R. AGHA D.D.S. INC NPI 1740469501


NPI Information

NPI: 1740469501
Provider Name: MAISSA R. AGHA, D.D.S. INC

Former Legal Business Name: MAISSA R. AGHA D.D.S., INC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3441 W BALL RD
SUITE A
ANAHEIM, CA
ZIP 92804
Phone: (714) 827-3441
Get Directions

MAISSA R. AGHA, D.D.S. INC is a general practice dentist in Anaheim, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MAISSA R. AGHA, D.D.S. INC NPI is 1740469501. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Maissa R. Agha D.d.s., Inc.

The provider's business location address is:

3441 W BALL RD
SUITE A
ANAHEIM, CA
ZIP 92804-723
Phone: (714) 827-3441
Fax: (714) 827-0232

The provider's authorized official is Maissa Rstoun Agha .
The authorized official title is Owner and has the following contact phone number (714) 827-3441.

The enumeration date for this NPI number is 10/29/2007 and was last updated on 10/29/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice43106CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D43106-02OTHERCALIFORNIADENTI-CAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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