Individual
DR. NICK AZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11 E LOCKWOOD AVE STE 100, SAINT LOUIS, MO 63119-3052
(314) 968-1800
Mailing address
427 YORKSHIRE PL, WEBSTER GROVES, MO 63119-3761
(314) 968-1800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2009014801
MO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021002490
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2009014801
MO
Other
Enumeration date
07/27/2010
Last updated
03/27/2023
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