Organization
DEAN AZZEH D.D.S. INC
Active
Other names
Family Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EZZ DEAN AZZEH DDS, DMEDSC, (CEO)
(714) 544-0200
Entity
Organization
Contact information
Practice address
16168 BEACH BLVD STE 90, HUNTINGTON BEACH, CA 92647-3847
(714) 544-0200
(714) 544-0204
Mailing address
16168 BEACH BLVD STE 90, HUNTINGTON BEACH, CA 92647-3847
(714) 544-0200
(714) 544-0204
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
55883
CA
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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