Pourshirazi Dental Corporation

NPI #1760780183 in Menifee, California

Provider Information

NPI Number: 1760780183
Entity Type: Organization
Organization Name: Pourshirazi Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Mar 9, 2011
Last Updated: May 25, 2011

Practice Location

Address: 27168 NEWPORT ROAD
Address 2: STE 3
City: Menifee
State: California
ZIP Code: 92584
Phone: (951) 672-9666

Authorized Official

Name: HOMAYOUN POURSHIRAZI, DMD
Title: PRESIDENT
Phone: (951) 672-9457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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