MEDICARE: DR. ARMINA AZARY DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	30023097	OH

General Provider Information

NPI Number	:	1730337221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARMINA AZARY DMD

Provider Business Mailing Address
First Line	:	9365 OLDE 8 RD
Second Line	:
City	:	NORTHFIELD
State	:	OH
Zip	:	44067-2052
Country	:	US
Telephone Number	:	330-467-0504
Fax Number	:

Provider Business Practice Location Address
First Line	:	46 RAVENNA ST STE A6
Second Line	:
City	:	HUDSON
State	:	OH
Zip	:	44236-3058
Country	:	US
Telephone Number	:	330-467-0504
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2008
Last Update Date	:	05/15/2020

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