| Norco Family Dental Group | |
|
2031 River Rd Norco CA 92860-3307 | |
| (951) 372-9094 | |
| (951) 372-9378 |
| Full Name | Norco Family Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 2031 River Rd, Norco, California |
| Authorized Official Name and Position | Hamed Ghorbanian (PRESIDENT) |
| Authorized Official Contact | 9513729094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norco Family Dental Group 2031 River Rd Norco CA 92860-3307 Ph: (951) 372-9094 | Norco Family Dental Group 2031 River Rd Norco CA 92860-3307 Ph: (951) 372-9094 |
| NPI Number | 1417465170 |
|---|---|
| Provider Enumeration Date | 01/16/2018 |
| Last Update Date | 06/18/2019 |
| Medicare PECOS PAC ID | 5092048074 |
|---|---|
| Medicare Enrollment ID | O20190605003211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417465170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 38997 (California) | Primary |
| Provider Name | Hamed Ghorbanian |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104819440 PECOS PAC ID: 3870891526 Enrollment ID: I20190605003303 |
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