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Organization
ROYA POURYAVARI,DMD,INC.
Active
Organization
ROYA POURYAVARI,DMD,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROYA POURYAVARI DMD (GENERAL DENTIST)
(949) 903-9898
Entity
Organization
Contact information
Practice address
809 S MAIN ST STE C, SANTA ANA, CA 92701-5719
(949) 903-9898
Mailing address
809 S MAIN ST STE C, SANTA ANA, CA 92701-5719
(949) 903-9898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49194
CA
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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