# MARYAM NAZERI DDS INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orange Coast Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447486352
- **Authorized official:** DR. MARYAM NAZERI DDS (PRESIDENT)
- **Authorized official phone:** (714) 835-9188

## Contact information

- **Practice address:** 1717 OLD TUSTIN AVE, SANTA ANA, CA 92705-7815
- **Practice address phone:** (714) 835-9188
- **Practice address fax:** (714) 835-2647
- **Mailing address:** 1717 OLD TUSTIN AVE, SANTA ANA, CA 92705-7815
- **Mailing address phone:** (714) 835-9188
- **Mailing address fax:** (714) 835-2647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 55098 | CA | Yes |

## Other

- **Enumeration date:** 06/05/2009
- **Last updated:** 06/05/2009