# AZ DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811420482
- **Authorized official:** ZALIYA AKBASHEVA DMD (OWNER)
- **Authorized official phone:** (215) 673-4940

## Contact information

- **Practice address:** 1619 GRANT AVE, STE 23, PHILADELPHIA, PA 19115-3167
- **Practice address phone:** (215) 673-4940
- **Mailing address:** 830 WELSH RD, PHILADELPHIA, PA 19115-2823
- **Mailing address phone:** (215) 673-4940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS037477 | PA | Yes |

## Other

- **Enumeration date:** 04/10/2017
- **Last updated:** 04/10/2017