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Individual

DR. ANDRO EHAB AZER REFAAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
16475 SIERRA LAKES PKWY STE 140, FONTANA, CA 92336-1259
(909) 525-0333
Mailing address
16475 SIERRA LAKES PKWY STE 140, FONTANA, CA 92336-1259
(909) 525-0333

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
108915
CA
1223G0001X
General Practice Dentistry
DN10000720
MA

Other

Enumeration date
04/24/2023
Last updated
09/29/2025
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