Organization
DR SHAHOVEISI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HESAM SHAHOVEISI DMD (OWNER)
(951) 737-3746
Entity
Organization
Contact information
Practice address
161 N MCKINLEY ST STE 102, CORONA, CA 92879-6530
(951) 737-3746
(951) 339-9139
Mailing address
161 N MCKINLEY ST STE 102, CORONA, CA 92879-6530
(951) 737-3746
(951) 339-9139
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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