| Missagh Pezeshkian, D.d. S., A Professional Corporation | |
|
1016 E Broadway Ste 104 Glendale CA 91205-4534 | |
| (818) 409-0999 | |
| (818) 543-0999 |
| Full Name | Missagh Pezeshkian, D.d. S., A Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1016 E Broadway Ste 104, Glendale, California |
| Authorized Official Name and Position | Missagh Pezeshkian (CEO) |
| Authorized Official Contact | 8184090999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missagh Pezeshkian, D.d. S., A Professional Corporation 1016 E Broadway Ste 104 Glendale CA 91205-4534 Ph: (818) 409-0999 | Missagh Pezeshkian, D.d. S., A Professional Corporation 1016 E Broadway Ste 104 Glendale CA 91205-4534 Ph: (818) 409-0999 |
| NPI Number | 1578062121 |
|---|---|
| Provider Enumeration Date | 02/09/2018 |
| Last Update Date | 02/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578062121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 51440 (California) | Primary |
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