Dr. Maryam Michelle Pearose, D.D.S.
Dentist, Pediatric Dentistry in Foothill Ranch, CA. Individual provider (NPI-1).
NPI number1497968697
StatusActive
Last updated in NPPESApr 5, 2011
Details
- NPI
- 1497968697
- Entity type
- Individual (NPI-1)
- Name
- Dr. Maryam Michelle Pearose
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 7, 2007
- Last updated
- Apr 5, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 51508 | CA | Yes |
Practice location
26730 Towne Centre DrSuite 106
Foothill Ranch, CA 92610-2842
Phone 949-716-2800 · Fax 949-716-2900
Mailing address
26730 Towne Centre DrSuite 106
Foothill Ranch, CA 92610-2842
Phone 949-716-2800 · Fax 949-716-2900
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