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NPI Code Detail

MEDICARE: SOODABEH AZARMI DDS

MEDICARE:   SOODABEH  AZARMI  DDS
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 Dentistry39938CA

General Provider Information

NPI Number : 1447324652
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOODABEH AZARMI DDS
Provider Business Mailing Address
First Line : 4310 OVERLAND AVE
Second Line :
City : CLUVER CITY
State : CA
Zip : 90230
Country : US
Telephone Number : 310-837-8087
Fax Number : 310-837-8096
Provider Business Practice Location Address
First Line : 4310 OVERLAND AVE
Second Line :
City : CLUVER CITY
State : CA
Zip : 90230
Country : US
Telephone Number : 310-837-8087
Fax Number : 310-837-8096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 07/08/2007

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Directions to “ SOODABEH AZARMI DDS” Practice Location

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