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NPI Code Detail

MEDICARE: AZAR PARSAFAR DMD

MEDICARE:   AZAR  PARSAFAR  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
11223G0001XGeneral Practice Dentistry106234CA

General Provider Information

NPI Number : 1740958198
Entity Type Code : Individual
Provider Name (Legal Business Name) : AZAR PARSAFAR DMD
Provider Business Mailing Address
First Line : 12125 ALTA CARMEL CT STE 310
Second Line :
City : SAN DIEGO
State : CA
Zip : 92128-3892
Country : US
Telephone Number : 858-999-7687
Fax Number :
Provider Business Practice Location Address
First Line : 12125 ALTA CARMEL CT STE 310
Second Line :
City : SAN DIEGO
State : CA
Zip : 92128-3892
Country : US
Telephone Number : 619-800-4948
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2021
Last Update Date : 05/17/2023

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Directions to “ AZAR PARSAFAR DMD” Practice Location

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