Pourshirazi & Sareh Dental Corp
NPI #1053884924 in San Bernardino, California
Provider Information
- NPI Number
- 1053884924
- Entity Type
- Organization
- Organization Name
- Pourshirazi & Sareh Dental Corp
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 3, 2019
- Last Updated
- Feb 4, 2019
Practice Location
- Address
- 2015 N WATERMAN AVE STE B
- City
- San Bernardino
- State
- California
- ZIP Code
- 92404-4810
- Phone
- (951) 775-5536
Authorized Official
- Name
- HOMAYOUN POURSHIRAZI, DMD
- Title
- PRESIDENT
- Phone
- (951) 672-9457
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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