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1675 N Perris Blvd Suite A1 Perris CA 92571 | |
| (951) 657-2222 | |
| (951) 657-3582 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1675 N Perris Blvd, Perris, California |
| Authorized Official Name and Position | Reza Mohammad Birjandi (OWNER DDS) |
| Authorized Official Contact | 9516572222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1675 N Perris Blvd Suite A1 Perris CA 92571 Ph: (951) 657-2222 | 1675 N Perris Blvd Suite A1 Perris CA 92571 Ph: (951) 657-2222 |
| NPI Number | 1689863987 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 09/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689863987 | NPI | - | NPPES |
| G9410102 | Other | CA | MEDI CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38259 (California) | Primary |
Tejas Modi Dds Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 75 W Nuevo Rd Ste A&b, Perris, CA 92571 Phone: 951-657-1203 | |
Chung Kim Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 E 4th St, Suite A, Perris, CA 92570 Phone: 951-657-3102 Fax: 951-657-7783 | |
Soonhyuk Chang Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Avocado Ave Ste 202, Perris, CA 92571 Phone: 951-940-0202 Fax: 951-943-4844 | |