| Polyviou Dental Corportation, Inc. | |
|
120 Newport Beach Drive, Suite 27 Newport Beach CA 92660 | |
| (888) 607-5889 | |
| Not Available |
| Full Name | Polyviou Dental Corportation, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 120 Newport Beach Drive, Suite 27, Newport Beach, California |
| Authorized Official Name and Position | Fred Z Babaee (CEO) |
| Authorized Official Contact | 8036082743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polyviou Dental Corportation, Inc. 120 Newport Beach Drive, Suite 27 Newport Beach CA 92660 Ph: (888) 607-5889 | Polyviou Dental Corportation, Inc. 120 Newport Beach Drive, Suite 27 Newport Beach CA 92660 Ph: (888) 607-5889 |
| NPI Number | 1649898388 |
|---|---|
| Provider Enumeration Date | 07/09/2020 |
| Last Update Date | 07/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649898388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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