FERESHTEH MAGHSOUDY DMD INC
Managed Care Organizations at Villa La Jolla Dr, La Jolla, CA

License number
California 44022
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: FERESHTEH MAGHSOUDY DMD
Title: DENTIST/PRESIDENT
Phone: (858) 558-3490
Address
Address
8950 Villa La Jolla Dr STE B207, La Jolla, CA 92037
National Provider ID: 1124454897
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FERESHTEH MAGHSOUDY, DMD, INC

8950 Villa Ln Jolla Dr #B207, La Jolla, CA 92037

Industry:
Dentist's Office
Registration:
Jan 22, 1999
State ID:
C2100775
Business type:
Articles of Incorporation
President:
Feneshieh Maghgoudy (President)
Agent:
Feneshieh Maghgoudy,La Jolla, CA 92037 (Physical)

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