| Dean Azzeh , Dds Inc. | |
|
535 E Main St Ste A Tustin CA 92780-4453 | |
| (714) 544-0200 | |
| (714) 509-1517 |
| Full Name | Dean Azzeh , Dds Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 535 E Main St Ste A, Tustin, California |
| Authorized Official Name and Position | Dean Azzeh (PRESIDENT/OWNER) |
| Authorized Official Contact | 7145440200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dean Azzeh , Dds Inc. 535 E Main St Ste A Tustin CA 92780-4453 Ph: (714) 544-0200 | Dean Azzeh , Dds Inc. 535 E Main St Ste A Tustin CA 92780-4453 Ph: (714) 544-0200 |
| NPI Number | 1669077749 |
|---|---|
| Provider Enumeration Date | 12/04/2020 |
| Last Update Date | 02/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669077749 | NPI | - | NPPES |
| 1669670931 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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