AZAM MOHAMMED ALEEMUDDIN

LA VERNE, CA
NPI1700368792
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  DDS107422)
Additional Taxonomies122300000X Dentist
(Licence: TX  33936)
Enumeration Date2018-09-05
Last Update Date2023-09-17
Business Address
Dr. AZAM MOHAMMED ALEEMUDDIN DDS, MPH
1965 FOOTHILL BLVD STE L
LA VERNE, CA 91750-3502
Phone number: 909-596-6500
Mailing Address
Dr. AZAM MOHAMMED ALEEMUDDIN DDS, MPH
21050 STONYBROOK DR
WALNUT, CA 91789-5012
Phone number: 951-907-5694