Organization
HAME DENTAL CORPORATION
Active
Other names
Southern California Dental Best
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOMAYOON MARCUS HAME DDS (OWNER)
(951) 304-7474
Entity
Organization
Contact information
Practice address
40414 CALIFORNIA OAKS RD, SUITE A, MURRIETA, CA 92562-1946
(951) 304-7474
(951) 304-7473
Mailing address
40414 CALIFORNIA OAKS RD, SUITE A, MURRIETA, CA 92562-1946
(951) 304-7474
(951) 304-7473
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
38193
CA
305R00000X
Preferred Provider Organization
52596
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235228602
1-IND
CA
01
—
1518112531
1-IND
CA
Enumeration date
03/28/2016
Last updated
03/28/2016
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