Maher Al-Bouz Dental Corp

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

46013 Issued in CA

Legal business name

MAHER AL-BOUZ DENTAL CORP

Practice address

639 E. Foothill Blvd
Suite a
San Dimas, CA 91773

Phone

(909) 599-2029

Fax

(909) 599-4342

NPI assigned

Oct 7, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maher Al-Bouz, DDSNPI 1033314232

Title

Owner

Phone

(909) 599-2029

Specialties & licenses 1

Addresses

Other names 1

• Cosmetic Laser Dentistry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maher Albouz, D.D.S

  • Dentist
  • San Dimas, CA
  • NPI 1033314232
  Medicare reassignment NPD Authorized official
• Angel J. Sanchez-Figueras, D.D.S.

  • General Practice Dentistry
  • San Dimas, CA
  • NPI 1528205754
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1861701971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 E. FOOTHILL BLVD",
            "address_2": "SUITE A",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "91773",
            "telephone_number": "909-599-2029",
            "fax_number": "909-599-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 E. FOOTHILL BLVD",
            "address_2": "SUITE A",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "91773",
            "telephone_number": "909-599-2029",
            "fax_number": "909-599-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHER AL-BOUZ DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "AL-BOUZ",
        "authorized_official_first_name": "MAHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-599-2029",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "46013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cosmetic Laser Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael G Madanat, M.D.
• Ronald Craig Maddox, D.D.S.
• Richard Jackson Magallon, MD
• Samantha Magdalik
• Magdy Sarieldin
• Richard Lloyd Malinick, M.D.
• Robert Mallard
• Rachael Mance
• Samantha Jean Manning
• Karen Renee Manson, NP

• Public Health Dentistry in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.