| Oc Periodontics & Implants | |
|
113 Waterworks Way Ste 255 Irvine CA 92618-3169 | |
| (949) 502-8844 | |
| Not Available |
| Full Name | Oc Periodontics & Implants |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 113 Waterworks Way Ste 255, Irvine, California |
| Authorized Official Name and Position | Nooshin Ghayoumi (PRESIDENT) |
| Authorized Official Contact | 9493381556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oc Periodontics & Implants 113 Waterworks Way Ste 255 Irvine CA 92618-3169 Ph: (949) 502-8844 | Oc Periodontics & Implants 113 Waterworks Way Ste 255 Irvine CA 92618-3169 Ph: (949) 502-8844 |
| NPI Number | 1528477437 |
|---|---|
| Provider Enumeration Date | 08/05/2014 |
| Last Update Date | 08/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528477437 | NPI | - | NPPES |
| 1689876799 | Other | CA | INDIVITUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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