Individual
MRS. SOHELI ANAR AZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
70-17 37TH AVENUE, 1ST FLOOR, JACKSON HEIGHTS, NY 11372
(718) 672-5050
(718) 565-5686
Mailing address
99-02 220TH STREET, PVT HOUSE, QUEENS VILLAGE, NY 11429
(718) 672-5050
(718) 565-5686
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
047363
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012254
DORAL DENTAL
NY
05
—
01831667
—
NY
Enumeration date
05/21/2007
Last updated
12/05/2012
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