Organization
AZZAWI DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHER AZZAWI DDS (CEO)
(909) 466-3899
Entity
Organization
Contact information
Practice address
10165 FOOTHILL BLVD, SUITE 9, RANCHO CUCAMONGA, CA 91730-0340
(909) 466-3899
Mailing address
10165 FOOTHILL BLVD, SUITE 9, RANCHO CUCAMONGA, CA 91730-0340
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
48228
CA
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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