Individual
AZZA JANDALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
24266 POSTAL AVE, STE 100, MORENO VALLEY, CA 92553-3081
(952) 242-2600
Mailing address
10054 THORNBIRD CT, MORENO VALLEY, CA 92557-2854
(951) 243-5201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46833
CA
Other
Enumeration date
05/11/2007
Last updated
04/20/2010
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