Mansour, Hatae, Habir, Ghorbanian Dental Corporation

NPI #1881129989 in Upland, California

Provider Information

NPI Number: 1881129989
Entity Type: Organization
Organization Name: Mansour, Hatae, Habir, Ghorbanian Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Apr 26, 2017
Last Updated: Apr 26, 2017

Practice Location

Address: 270 E 7TH ST STE 2C
City: Upland
State: California
ZIP Code: 91786-6602
Phone: (909) 982-8501

Authorized Official

Name: DR. ABRAHAM GHORBANIAN
Title: CEO/PRESIDENT
Phone: (949) 450-0076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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