| All Smile Dental Group Of Dr. Pourshirazi | |
|
2015 N Waterman Ave Ste B San Bernardino CA 92404-4810 | |
| (951) 775-5536 | |
| Not Available |
| Full Name | All Smile Dental Group Of Dr. Pourshirazi |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2015 N Waterman Ave Ste B, San Bernardino, California |
| Authorized Official Name and Position | Homayoun Pourshirazi (PRESIDENT) |
| Authorized Official Contact | 9516729457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All Smile Dental Group Of Dr. Pourshirazi 27192 Newport Rd Ste 2 Menifee CA 92584-7387 Ph: (951) 672-9457 | All Smile Dental Group Of Dr. Pourshirazi 2015 N Waterman Ave Ste B San Bernardino CA 92404-4810 Ph: (951) 775-5536 |
| NPI Number | 1053884924 |
|---|---|
| Provider Enumeration Date | 01/03/2019 |
| Last Update Date | 02/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053884924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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