| All Dental Of Menifee | |
|
27192 Newport Rd Ste 2 Menifee CA 92584-7387 | |
| (951) 672-9457 | |
| (951) 672-7878 |
| Full Name | All Dental Of Menifee |
|---|---|
| Speciality | Dentist |
| Location | 27192 Newport Rd Ste 2, Menifee, California |
| Authorized Official Name and Position | Homayoun Pourshirazi (DOCTOR) |
| Authorized Official Contact | 9516729457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All Dental Of Menifee 27192 Newport Rd Ste 2 Menifee CA 92584-7387 Ph: (951) 672-9457 | All Dental Of Menifee 27192 Newport Rd Ste 2 Menifee CA 92584-7387 Ph: (951) 672-9457 |
| NPI Number | 1386785749 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 06/26/2020 |
| Medicare PECOS PAC ID | 3971932260 |
|---|---|
| Medicare Enrollment ID | O20200408001414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386785749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44064 (California) | Primary |
| Provider Name | Homayoun Pourshirazi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1376797621 PECOS PAC ID: 2264602333 Enrollment ID: I20200408001615 |
| Provider Name | Reza Rafie |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1588783690 PECOS PAC ID: 8123440609 Enrollment ID: I20200630001146 |
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