Bassiri, Koroush
Bassiri, Koroush is an individual health care provider with primary practice located at 320 Bristol St Suite H, Costa Mesa CA 92626-7946. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bassiri, Koroush can be contacted via phone (714) 546-7595.Contact Information
Primary practice address
320 Bristol St Suite H
Costa Mesa CA 92626-7946
Phone: (714) 546-7595
Fax: (714) 546-7597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 43754 | California |
Profile Details
| NPI number | 1831231455 |
|---|---|
| LBN Legal business name | Bassiri, Koroush |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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