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Organization
MARYAM NAZERI DDS INC.
Active
Organization
MARYAM NAZERI DDS INC.
Active
Other names
Orange Coast Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYAM NAZERI DDS (PRESIDENT)
(714) 835-9188
Entity
Organization
Contact information
Practice address
1717 OLD TUSTIN AVE, SANTA ANA, CA 92705-7815
(714) 835-9188
(714) 835-2647
Mailing address
1717 OLD TUSTIN AVE, SANTA ANA, CA 92705-7815
(714) 835-9188
(714) 835-2647
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
55098
CA
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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