Ethar Riyadh Al-Wazeer, DDS Valid NPI

Individual provider · Dentist · Fontana, CA

NPI

1366054348

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

105309 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2020-08-20

Last updated

2020-09-11