Individual
AMR A ABDELAZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
530 S MAIN ST, ORANGE, CA 92868-4525
(800) 579-3783
Mailing address
911 LINDEN DR, DALTON, GA 30720-5190
(706) 218-1833
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105991
CA
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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