Individual
DR. AZAM MOHAMMED ALEEMUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Contact information
Practice address
1965 FOOTHILL BLVD STE L, LA VERNE, CA 91750-3502
(909) 596-6500
Mailing address
21050 STONYBROOK DR, WALNUT, CA 91789-5012
(951) 907-5694
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
33936
TX
1223G0001X
General Practice Dentistry
Primary
DDS107422
CA
Other
Enumeration date
09/05/2018
Last updated
09/17/2023
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