Provider Demographics
NPI:1558462986
Name:GHASSEMI D.D.S. MS. P.C. INC.
Entity Type:Organization
Organization Name:GHASSEMI D.D.S. MS. P.C. INC.
Other - Org Name:RAMIN ALIREZA GHASSEMI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI REZA
Authorized Official - Middle Name:RAMIN
Authorized Official - Last Name:GHASSEMI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:858-481-8107
Mailing Address - Street 1:12750 CARMEL COUNTRY RD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130
Mailing Address - Country:US
Mailing Address - Phone:858-481-8107
Mailing Address - Fax:858-481-8127
Practice Address - Street 1:12750 CARMEL COUNTRY RD
Practice Address - Street 2:SUITE 213
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130
Practice Address - Country:US
Practice Address - Phone:858-481-8107
Practice Address - Fax:858-481-8127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA405951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty