Individual
MICHAEL HOMAYUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4640 ADMIRALTY WAY, SUITE 1001, MARINA DEL REY, CA 90292-6621
(310) 821-2611
Mailing address
4640 ADMIRALTY WAY, SUITE 1001, MARINA DEL REY, CA 90292-6621
(310) 821-2611
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
37838
CA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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