| Crossroads Family Dental Group | |
|
1675 N Perris Blvd Suite A1 Perris CA 92571 | |
| (951) 657-2222 | |
| (951) 657-3582 |
| Full Name | Crossroads Family Dental Group |
|---|---|
| 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 |
|---|---|
| Crossroads Family Dental Group 1675 N Perris Blvd Suite A1 Perris CA 92571 Ph: (951) 657-2222 | Crossroads Family Dental Group 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 |
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