Provider Demographics
NPI:1851548481
Name:SODEIFI AND MASSOOMI DMD MD INC
Entity Type:Organization
Organization Name:SODEIFI AND MASSOOMI DMD MD INC
Other - Org Name:SILICON VALLEY SURGICAL ARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:NIMA
Authorized Official - Middle Name:SAYED
Authorized Official - Last Name:MASSOOMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DMD, MED
Authorized Official - Phone:408-253-6081
Mailing Address - Street 1:10393 TORRE AVE
Mailing Address - Street 2:SUITE L
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:
Practice Address - Street 1:10393 TORRE AVE
Practice Address - Street 2:SUITE L
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty