Organization
PACIFIC ORTHODONTICS, LLC
Active
Other names
Pacific Orthodontic Group
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE FIROUZ DDS (DR)
(310) 447-5790
Entity
Organization
Contact information
Practice address
2021 SANTA MONICA BLVD, SUITE 340E, SANTA MONICA, CA 90404-2208
(310) 846-8676
Mailing address
11150 SANTA MONICA BLVD, SUITE 1400, LOS ANGELES, CA 90025-3380
(310) 846-8676
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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