| Azam Aleemuddin Dds, Inc. | |
|
1965 Foothill Blvd Ste L La Verne CA 91750-3502 | |
| (909) 596-6500 | |
| Not Available |
| Full Name | Azam Aleemuddin Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1965 Foothill Blvd Ste L, La Verne, California |
| Authorized Official Name and Position | Azam Mohammed Aleemuddin (DENTIST/OWNER) |
| Authorized Official Contact | 9095966500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azam Aleemuddin Dds, Inc. 21050 Stonybrook Dr Walnut CA 91789-5012 Ph: (951) 907-5694 | Azam Aleemuddin Dds, Inc. 1965 Foothill Blvd Ste L La Verne CA 91750-3502 Ph: (909) 596-6500 |
| NPI Number | 1891570529 |
|---|---|
| Provider Enumeration Date | 08/30/2023 |
| Last Update Date | 09/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891570529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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