Provider Demographics
NPI:1376276709
Name:FEROZUDDIN, OZAIR MOHAMMED (DMD)
Entity Type:Individual
Prefix:DR
First Name:OZAIR
Middle Name:MOHAMMED
Last Name:FEROZUDDIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14765 MAPLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-5186
Mailing Address - Country:US
Mailing Address - Phone:714-612-4930
Mailing Address - Fax:
Practice Address - Street 1:505 S VILLA REAL STE 101B
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-3432
Practice Address - Country:US
Practice Address - Phone:714-974-4332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-04
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.033814122300000X
CA109164122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist