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NPI Code Detail

MEDICARE: ANNA AZAR DMD

MEDICARE: ANNA AZAR 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
11223P0221XPediatric DentistryDN1856596MA
21223P0221XPediatric DentistryD011543AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1620146OTHERMAMASSACHUSETTS LICENCE NUMBER
2D011543OTHERAZDENTAL LICENSE

General Provider Information

NPI Number : 1861809790
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA AZAR DMD
Provider Business Mailing Address
First Line : 839 W CONGRESS ST
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2819
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Provider Business Practice Location Address
First Line : 340 W PRINCE RD
Second Line :
City : TUCSON
State : AZ
Zip : 85705-6168
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2014
Last Update Date : 03/31/2025

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Directions to “ ANNA AZAR DMD” Practice Location

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