| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2031 River Rd, Norco, California |
| Authorized Official Name and Position | Hamed Ghorbanian (PRESIDENT) |
| Authorized Official Contact | 9513729094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2031 River Rd Norco CA 92860-3307 Ph: (951) 372-9094 | 2031 River Rd Norco CA 92860-3307 Ph: (951) 372-9094 |
| NPI Number | 1417465170 |
|---|---|
| Provider Enumeration Date | 01/16/2018 |
| Last Update Date | 06/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417465170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 38997 (California) | Primary |
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