| Payam Pezeshkian D.d.s. Inc. | |
|
1161 Hidden Valley Pkwy Suite 106 Norco CA 92860-3916 | |
| (949) 351-7607 | |
| Not Available |
| Full Name | Payam Pezeshkian D.d.s. Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1161 Hidden Valley Pkwy, Norco, California |
| Authorized Official Name and Position | Payam Pezeshkian Pezeshkian (OWNER) |
| Authorized Official Contact | 9493517607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Payam Pezeshkian D.d.s. Inc. 1161 Hidden Valley Pkwy Suite 106 Norco CA 92860-3916 Ph: (949) 351-7607 | Payam Pezeshkian D.d.s. Inc. 1161 Hidden Valley Pkwy Suite 106 Norco CA 92860-3916 Ph: (949) 351-7607 |
| NPI Number | 1609076116 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 07/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609076116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 51987 (California) | Primary |
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