Provider Demographics
NPI:1336848894
Name:SEIFI, MASSOUD (DDS)
Entity Type:Individual
Prefix:DR
First Name:MASSOUD
Middle Name:
Last Name:SEIFI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 S REXFORD LN
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-2334
Mailing Address - Country:US
Mailing Address - Phone:714-281-4710
Mailing Address - Fax:
Practice Address - Street 1:1026 S REXFORD LN
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92808-2334
Practice Address - Country:US
Practice Address - Phone:714-281-4710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS53729122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist