Organization
MAHER AL-BOUZ DENTAL CORP
Active
Other names
Cosmetic Laser Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MAHER AL-BOUZ DDS (OWNER)
(909) 599-2029
Entity
Organization
Contact information
Practice address
639 E. FOOTHILL BLVD, SUITE A, SAN DIMAS, CA 91773
(909) 599-2029
(909) 599-4342
Mailing address
639 E. FOOTHILL BLVD, SUITE A, SAN DIMAS, CA 91773
(909) 599-2029
(909) 599-4342
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
46013
CA
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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