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General NPI Number Information
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NPI Number | 1629933809
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Entity Type | Organization
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Legal Business Name | PAYAM HOOSHMAND,DMD, INC.
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 19503 CHRISTINA WAY
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City | CERRITOS
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State | CA
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Zip | 90703-7733
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Country | US
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Telephone | 520-300-0645
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Fax |
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Provider Business Mailing Address
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Address Line | 19503 CHRISTINA WAY
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City | CERRITOS
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State | CA
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Zip | 90703-7733
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. PAYAM HOOSHMAND
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Credential | DMD
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Telephone | 520-300-0645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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