Provider Demographics
NPI:1346397221
Name:MASSOOMI, NIMA SAYED (DMD, MED, MD)
Entity Type:Individual
Prefix:DR
First Name:NIMA
Middle Name:SAYED
Last Name:MASSOOMI
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Gender:M
Credentials:DMD, MED, MD
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Mailing Address - Street 1:10393 TORRE AVE STE L
Mailing Address - Street 2:SILICON VALLEY SURGICAL ARTS INC.
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-3235
Mailing Address - Country:US
Mailing Address - Phone:408-253-6081
Mailing Address - Fax:408-253-5125
Practice Address - Street 1:10393 TORRE AVE STE L
Practice Address - Street 2:SILICON VALLEY SURGICAL ARTS INC.
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-3235
Practice Address - Country:US
Practice Address - Phone:408-253-6081
Practice Address - Fax:408-253-5125
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2023-04-05
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Provider Licenses
StateLicense IDTaxonomies
CA81204E00000X
CAA103713204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery