Organization
POURSHIRAZI & SAREH DENTAL CORP
Active
Other names
All Smile Dental Group of Dr. Pourshirazi
Organization subpart
No
Provider details
NPI number
Authorized official
HOMAYOUN POURSHIRAZI DMD (PRESIDENT)
(951) 672-9457
Entity
Organization
Contact information
Practice address
2015 N WATERMAN AVE STE B, SAN BERNARDINO, CA 92404-4810
(951) 775-5536
Mailing address
27192 NEWPORT RD STE 2, MENIFEE, CA 92584-7387
(951) 672-9457
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
02/04/2019
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