Organization
NOHAUD N AZAN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOHAUD NASEEF AZAN DDS (OWNER)
(660) 826-0263
Entity
Organization
Contact information
Practice address
1806 WEST 11TH STREET, SEDALIA, MO 65301
(660) 826-0263
(660) 826-6553
Mailing address
1806 WEST 11TH STREET, SEDALIA, MO 65301
(660) 826-0263
(660) 826-6553
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE015420
MO
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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