| Shahriyar Behjou Dental Corporation | |
|
10755 Lower Azusa Rd Ste D El Monte CA 91731-1300 | |
| (626) 448-2040 | |
| (626) 448-9535 |
| Full Name | Shahriyar Behjou Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 10755 Lower Azusa Rd Ste D, El Monte, California |
| Authorized Official Name and Position | Shahriyar Behjou (OWNER) |
| Authorized Official Contact | 6264482040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahriyar Behjou Dental Corporation 10755 Lower Azusa Rd. Suite #d El Monte CA 91731 Ph: (626) 448-2040 | Shahriyar Behjou Dental Corporation 10755 Lower Azusa Rd Ste D El Monte CA 91731-1300 Ph: (626) 448-2040 |
| NPI Number | 1386975050 |
|---|---|
| Provider Enumeration Date | 01/20/2010 |
| Last Update Date | 01/20/2010 |
| Medicare PECOS PAC ID | 6204966898 |
|---|---|
| Medicare Enrollment ID | O20100608000608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386975050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (California) | Primary |
| Provider Name | Shahriyar Behjou |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1326174236 PECOS PAC ID: 4385774983 Enrollment ID: I20100608000638 |
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