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Organization

POLYVIOU DENTAL CORPORTATION, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRED Z BABAEE (CEO)
(803) 608-2743
Entity
Organization

Contact information

Practice address
120 NEWPORT BEACH DRIVE, SUITE 27, NEWPORT BEACH, CA 92660
(888) 607-5889
Mailing address
120 NEWPORT BEACH DRIVE, SUITE 27, NEWPORT BEACH, CA 92660
(888) 607-5889

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
07/09/2020
Last updated
07/09/2020
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