Organization
DR AZIZI PLLC
Active
Other names
GRACE FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
HAMID AZIZI (OWNER)
(323) 804-1324
Entity
Organization
Contact information
Practice address
1538 11TH AVE, LONGVIEW, WA 98632-4123
(323) 804-1324
Mailing address
3984 NW CURRAWONG CT, CAMAS, WA 98607-8521
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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