Organization
POYOUROW PROFESSIONAL DENTAL CORPORATION
Active
Other names
Fashion Island Oral Surgery and Implants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOLOMON POYOUROW DDS, MD, MPH (OWNER)
(310) 279-0993
Entity
Organization
Contact information
Practice address
1441 AVOCADO AVE STE 406, NEWPORT BEACH, CA 92660-7705
(949) 760-1601
Mailing address
4582 KATELLA AVE, LOS ALAMITOS, CA 90720-2655
(310) 279-0993
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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