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Organization
PM FAKHERI DENTAL CORP.
Active
Organization
PM FAKHERI DENTAL CORP.
Active
Other names
Ace Dental Group Long Beach
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRAM FAKHERI DMD (OWNER)
(562) 253-0085
Entity
Organization
Contact information
Practice address
620 E SAN ANTONIO DR, LONG BEACH, CA 90807-2203
(562) 253-0085
(562) 966-6664
Mailing address
620 E SAN ANTONIO DR, LONG BEACH, CA 90807-2203
(562) 253-0085
(562) 966-6664
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
02/17/2022
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