| Azzawi Dental Inc | |
|
10165 Foothill Blvd Suite 9 Rancho Cucamonga CA 91730-0340 | |
| (909) 466-3899 | |
| Not Available |
| Full Name | Azzawi Dental Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10165 Foothill Blvd, Rancho Cucamonga, California |
| Authorized Official Name and Position | Maher Azzawi (CEO) |
| Authorized Official Contact | 9094663899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azzawi Dental Inc 10165 Foothill Blvd Suite 9 Rancho Cucamonga CA 91730-0340 Ph: () - | Azzawi Dental Inc 10165 Foothill Blvd Suite 9 Rancho Cucamonga CA 91730-0340 Ph: (909) 466-3899 |
| NPI Number | 1386916054 |
|---|---|
| Provider Enumeration Date | 01/27/2012 |
| Last Update Date | 01/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386916054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 48228 (California) | Primary |
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