| Periodontics, Oral And Facial Surgical Specialties | |
|
29829 Santa Margarita Pkwy Ste 300 Rancho Santa Margarita CA 92688-3623 | |
| (949) 888-0332 | |
| (949) 888-0400 |
| Full Name | Periodontics, Oral And Facial Surgical Specialties |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 29829 Santa Margarita Pkwy Ste 300, Rancho Santa Margarita, California |
| Authorized Official Name and Position | Reza Bolourian (OWNER) |
| Authorized Official Contact | 9498880332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontics, Oral And Facial Surgical Specialties 29829 Santa Margarita Pkwy Ste 300 Rancho Santa Margarita CA 92688-3623 Ph: (949) 888-0332 | Periodontics, Oral And Facial Surgical Specialties 29829 Santa Margarita Pkwy Ste 300 Rancho Santa Margarita CA 92688-3623 Ph: (949) 888-0332 |
| NPI Number | 1386234284 |
|---|---|
| Provider Enumeration Date | 01/25/2021 |
| Last Update Date | 01/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386234284 | NPI | - | NPPES |
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