| Maher Azzawi DDS Inc. | |
|
8599 Haven Ave Suite 101 Rancho Cucamonga CA 91730-4849 | |
| (909) 466-6710 | |
| (909) 483-5520 |
| Full Name | Maher Azzawi DDS Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8599 Haven Ave, Rancho Cucamonga, California |
| Authorized Official Name and Position | Maher Azzawi (CEO) |
| Authorized Official Contact | 9094666710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maher Azzawi DDS Inc. 8599 Haven Ave Suite 101 Rancho Cucamonga CA 91730-4849 Ph: (909) 466-6710 | Maher Azzawi DDS Inc. 8599 Haven Ave Suite 101 Rancho Cucamonga CA 91730-4849 Ph: (909) 466-6710 |
| NPI Number | 1356404164 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356404164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 48228 (California) | Primary |
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