| Darryl Todd Azouz, Dds, Inc | |
|
6661 Stanford Ranch Rd Ste D Rocklin CA 95677-2675 | |
| (916) 630-1084 | |
| Not Available |
| Full Name | Darryl Todd Azouz, Dds, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6661 Stanford Ranch Rd Ste D, Rocklin, California |
| Authorized Official Name and Position | Darryl Todd Azouz (OWNER) |
| Authorized Official Contact | 9169613383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Darryl Todd Azouz, Dds, Inc 6661 Stanford Ranch Rd Ste D Rocklin CA 95677-2675 Ph: (916) 630-1084 | Darryl Todd Azouz, Dds, Inc 6661 Stanford Ranch Rd Ste D Rocklin CA 95677-2675 Ph: (916) 630-1084 |
| NPI Number | 1285273284 |
|---|---|
| Provider Enumeration Date | 12/23/2019 |
| Last Update Date | 12/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285273284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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