Individual
DR. MANOUCHEHR MANOUCHEHR-POUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D. , M.S.
Contact information
Practice address
11635 SOUTH ST, ARTESIA, CA 90701-6628
(562) 924-4401
Mailing address
18570 DYLAN ST, NORTHRIDGE, CA 91326-1904
(818) 491-0967
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
34999
CA
Other
Enumeration date
03/10/2007
Last updated
07/08/2007
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