Provider Demographics
NPI:1255491973
Name:QURESHI, AZEEM HARRIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:AZEEM
Middle Name:HARRIS
Last Name:QURESHI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1946 E ROSECRANS AVE
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90221-1710
Mailing Address - Country:US
Mailing Address - Phone:310-868-9560
Mailing Address - Fax:310-868-9221
Practice Address - Street 1:1946 E ROSECRANS AVE
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90221-1710
Practice Address - Country:US
Practice Address - Phone:310-868-9560
Practice Address - Fax:310-868-9221
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41777122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist