Azusa Modern Dentistry, INC
NPI #1184417859 in Azusa, California
Provider Information
- NPI Number
- 1184417859
- Entity Type
- Organization
- Organization Name
- Azusa Modern Dentistry, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 27, 2025
- Last Updated
- May 27, 2025
Practice Location
- Address
- 806 N AZUSA AVE
- City
- Azusa
- State
- California
- ZIP Code
- 91702-2509
- Phone
- (626) 541-9615
Authorized Official
- Name
- YOUSTINA MEKHAEL
- Title
- OWNER
- Phone
- (714) 845-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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