| Ghorbanian Dds, Vii, Inc Castillo G Dental Corp | |
|
31739 Riverside Dr Ste C Lake Elsinore CA 92530-7818 | |
| (951) 226-7606 | |
| Not Available |
| Full Name | Ghorbanian Dds, Vii, Inc Castillo G Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 31739 Riverside Dr Ste C, Lake Elsinore, California |
| Authorized Official Name and Position | Abraham Ghorbanian (CEO/PRESIDENT) |
| Authorized Official Contact | 9494500076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghorbanian Dds, Vii, Inc Castillo G Dental Corp 31739 Riverside Dr Ste C Lake Elsinore CA 92530-7818 Ph: (949) 450-0076 | Ghorbanian Dds, Vii, Inc Castillo G Dental Corp 31739 Riverside Dr Ste C Lake Elsinore CA 92530-7818 Ph: (951) 226-7606 |
| NPI Number | 1619402716 |
|---|---|
| Provider Enumeration Date | 04/26/2017 |
| Last Update Date | 04/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619402716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 53515 (California) | Primary |
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