| Pacific Orthodontic Group | |
|
2021 Santa Monica Blvd Suite 340e Santa Monica CA 90404-2208 | |
| (310) 846-8676 | |
| Not Available |
| Full Name | Pacific Orthodontic Group |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2021 Santa Monica Blvd, Santa Monica, California |
| Authorized Official Name and Position | Maurice Firouz (DR) |
| Authorized Official Contact | 3104475790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Orthodontic Group 11150 Santa Monica Blvd Suite 1400 Los Angeles CA 90025-3380 Ph: (310) 846-8676 | Pacific Orthodontic Group 2021 Santa Monica Blvd Suite 340e Santa Monica CA 90404-2208 Ph: (310) 846-8676 |
| NPI Number | 1184179129 |
|---|---|
| Provider Enumeration Date | 08/19/2016 |
| Last Update Date | 08/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184179129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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Mike Pirbazari, Dds, Phd. Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1807 Wilshire Blvd.,, Suite A, Santa Monica, CA 90403 Phone: 310-264-1711 Fax: 310-453-6486 | |
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