Organization
NOOSHIN GHAYOUMI DDS INC
Active
Other names
OC Periodontics & Implants
Organization subpart
No
Provider details
NPI number
Authorized official
NOOSHIN GHAYOUMI DDS (PRESIDENT)
(949) 338-1556
Entity
Organization
Contact information
Practice address
113 WATERWORKS WAY STE 255, IRVINE, CA 92618-3169
(949) 502-8844
Mailing address
113 WATERWORKS WAY STE 255, IRVINE, CA 92618-3169
(949) 502-8844
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689876799
INDIVITUAL NPI
CA
Enumeration date
08/05/2014
Last updated
08/05/2014
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