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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