Individual
HAMID POUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 SERENITY, IRVINE, CA 92618-1511
(310) 483-1939
Mailing address
51 SERENITY, IRVINE, CA 92618-1511
(310) 483-1939
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
101448
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
101448
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
7041
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
S3-356
NV
Other
Enumeration date
06/23/2017
Last updated
09/13/2022
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