Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Azusa Modern Dentistry, Inc

Organization General Practice Dentistry · NPI 1184417859

Azusa Modern Dentistry, Inc is a General Practice Dentistry in Azusa, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

806 N Azusa Ave
Azusa, CA 91702-2509
Phone: (626) 541-9615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1184417859
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Youstina Mekhael — Owner · (714) 845-8500
NPI enumeratedMay 27, 2025
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing addressPo Box 660041, Dallas, TX 75266-0041

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