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Individual

DR. DARRYL TODD AZOUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
5414 SUNRISE BLVD STE D, CITRUS HEIGHTS, CA 95610-7803
(530) 913-2748
(916) 630-1301
Mailing address
5414 SUNRISE BLVD STE D, CITRUS HEIGHTS, CA 95610-7803
(530) 913-2748
(916) 630-1301

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47447
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13566012
UNITED CONCORDIA ID #
CA
Enumeration date
12/21/2006
Last updated
05/27/2022
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