# A. KAZIM DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184492720
- **Authorized official:** DR. AMIR EBRAHIM KAZIM DDS (DENTIST)
- **Authorized official phone:** (801) 430-9262

## Contact information

- **Practice address:** 4533 MACARTHUR BLVD \# 5135, NEWPORT BEACH, CA 92660-2059
- **Practice address phone:** (801) 430-9262
- **Mailing address:** 1881 W TRAVERSE PKWY STE E, LEHI, UT 84043-6029
- **Mailing address phone:** (801) 430-9262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2023
- **Last updated:** 12/13/2023