Payam Sooferi D.d.s., A Professional Dental Corporation | |
207 N Central Ave Glendale CA 91203-2510 | |
(818) 243-8888 | |
(818) 243-8808 |
Full Name | Payam Sooferi D.d.s., A Professional Dental Corporation |
---|---|
Speciality | Dentist |
Location | 207 N Central Ave, Glendale, California |
Authorized Official Name and Position | Payam Sooferi (DENTIST/OWNER) |
Authorized Official Contact | 8182438888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Payam Sooferi D.d.s., A Professional Dental Corporation 207 N Central Ave Glendale CA 91203-2510 Ph: (818) 243-8888 | Payam Sooferi D.d.s., A Professional Dental Corporation 207 N Central Ave Glendale CA 91203-2510 Ph: (818) 243-8888 |
NPI Number | 1245473370 |
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Provider Enumeration Date | 04/20/2009 |
Last Update Date | 08/03/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245473370 | NPI | - | NPPES |
434731 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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