Individual
MAXWELL M NAZARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
618 N DIAMOND BAR BLVD, DIAMOND BAR, CA 91765-1037
(909) 598-9097
(909) 614-7121
Mailing address
24933 PROSPECT AVE, LOMA LINDA, CA 92354-2811
(909) 598-9097
(909) 598-2157
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
50652
CA
Other
Enumeration date
02/19/2007
Last updated
06/24/2024
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