Provider Demographics
NPI:1972795953
Name:MASSOUMI, SAYEH EMILY (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAYEH
Middle Name:EMILY
Last Name:MASSOUMI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3809 SAN DIMAS ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5726
Mailing Address - Country:US
Mailing Address - Phone:714-623-9282
Mailing Address - Fax:661-664-0928
Practice Address - Street 1:3809 SAN DIMAS ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5726
Practice Address - Country:US
Practice Address - Phone:714-623-9282
Practice Address - Fax:661-664-0928
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA561241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice