Organization
BINA, KOROURI, SAGE DENTAL CORPORATION
Active
Other names
PHD Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRAM BINA DDS (CEO)
(310) 433-2722
Entity
Organization
Contact information
Practice address
12052 IMPERIAL HWY STE 101A, NORWALK, CA 90650-3090
(562) 307-9200
Mailing address
12052 IMPERIAL HWY STE 101A, NORWALK, CA 90650-3090
(562) 307-9200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
06/09/2023
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