| Poyourow Professional Dental Corporation | |
|
1441 Avocado Ave Ste 406 Newport Beach CA 92660-7705 | |
| (949) 760-1601 | |
| Not Available |
| Full Name | Poyourow Professional Dental Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1441 Avocado Ave Ste 406, Newport Beach, California |
| Authorized Official Name and Position | Solomon Poyourow (OWNER) |
| Authorized Official Contact | 3102790993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poyourow Professional Dental Corporation 4582 Katella Ave Los Alamitos CA 90720-2655 Ph: (310) 279-0993 | Poyourow Professional Dental Corporation 1441 Avocado Ave Ste 406 Newport Beach CA 92660-7705 Ph: (949) 760-1601 |
| NPI Number | 1659964872 |
|---|---|
| Provider Enumeration Date | 02/18/2021 |
| Last Update Date | 02/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659964872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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