| Star Dental Group | |
|
6071 Magnolia Ave Riverside CA 92506 | |
| (951) 680-1777 | |
| (951) 680-1776 |
| Full Name | Star Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6071 Magnolia Ave, Riverside, California |
| Authorized Official Name and Position | Azita Paydar (PRESIDENT) |
| Authorized Official Contact | 9516801777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Dental Group 6071 Magnolia Ave Riverside CA 92506 Ph: (951) 680-1777 | Star Dental Group 6071 Magnolia Ave Riverside CA 92506 Ph: (951) 680-1777 |
| NPI Number | 1669747192 |
|---|---|
| Provider Enumeration Date | 03/16/2012 |
| Last Update Date | 10/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669747192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 39865 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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