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MARYAM M. AFIFI DMD, MS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1386017002
Individual Registrant: MARYAM M. AFIFI DMD, MS
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
12850 10TH ST STE B1 CHINO, CA 91710-4297 US
Tel: 909-613-0111 Fax: --
Tel: 909-613-0111 Fax: --
Contact information for business:
7551 DARTMOUTH AVE RANCHO CUCAMONGA, CA 91730-1509 US
Tel: 909-476-8184 Fax: --
Tel: 909-476-8184 Fax: --
Registration Information:
NPI: 1386017002
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 64904 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
