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Dr. Kourosh Dianatyazdi, DDS
Oral and Maxillofacial Surgery (Dentist) in Palm Desert, California
NPI 1033205026

Kourosh Dianatyazdi is a Oral and Maxillofacial Surgery (Dentist) based in Palm Desert, CA and is specialized in Oral and Maxillofacial Surgery. Kourosh Dianatyazdi practices in Palm Desert, CA and has the professional credentials of DDS. The NPI Number for Kourosh Dianatyazdi is 1033205026 and holds a License No. 50457 (California).

The current practice location address for Kourosh Dianatyazdi is 77564 Country Club Dr, Palm Desert, CA and can be reached out via phone at 760-772-7082 and via fax at 760-772-7085.

Location: 77564 Country Club Dr, Palm Desert, CA, 92211-0484
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033205026
Provider Name
Kourosh Dianatyazdi
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
77564 Country Club Dr, Palm Desert, CA, 92211-0484
Phone Number
760-772-7082
Fax Number
760-772-7085
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
77564 Country Club Dr
City
Palm Desert
State
California
Zip
92211-0484
Phone Number
760-772-7082
Fax Number
760-772-7085
person
Provider Business Mailing Address Details
Address
77564 Country Club Dr
City
Palm Desert
State
California
Zip
92211-0484
Phone Number
760-772-7082
Fax Number
760-772-7085
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
50457 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
50457 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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