Individual
DR. LAITH AZZOUNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
390 SOUTHBRIDGE ST, AUBURN, MA 01501
(508) 832-0919
(508) 832-0426
Mailing address
390 SOUTHBRIDGE ST, AUBURN, MA 01501-2456
(508) 832-0919
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1855086
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN18560
FL
Other
Enumeration date
03/03/2008
Last updated
09/28/2018
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