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Individual

DR. MARYAM MICHELLE PEAROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
26730 TOWNE CENTRE DR, SUITE 106, FOOTHILL RANCH, CA 92610-2842
(949) 716-2800
(949) 716-2900
Mailing address
26730 TOWNE CENTRE DR, SUITE 106, FOOTHILL RANCH, CA 92610-2842
(949) 716-2800
(949) 716-2900

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
51508
CA

Other

Enumeration date
05/07/2007
Last updated
04/05/2011
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