Individual
EZZ AZZEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, CERT., DMSC
Contact information
Practice address
535 E MAIN ST STE A, TUSTIN, CA 92780-4453
(714) 544-0200
(714) 509-1517
Mailing address
535 E MAIN ST STE A, TUSTIN, CA 92780-4453
(714) 544-0200
(714) 509-1517
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
55883
CA
Other
Enumeration date
07/06/2007
Last updated
02/19/2021
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