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Organization
POURSHIRAZI DENTAL CORPORATION
Active
Organization
POURSHIRAZI DENTAL CORPORATION
Active
Other names
All Kids Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
HOMAYOUN POURSHIRAZI DMD (PRESIDENT)
(951) 672-9457
Entity
Organization
Contact information
Practice address
27168 NEWPORT ROAD, STE 3, MENIFEE, CA 92584
(951) 672-9666
Mailing address
27168 NEWPORT ROAD, STE 3, MENIFEE, CA 92584
(951) 672-9666
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
44064
CA
Other
Enumeration date
03/09/2011
Last updated
05/25/2011
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