Individual
AZHAR AL-MOZANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(415) 936-6863
Mailing address
211 GEIGER RD, PHILADELPHIA, PA 19115-1009
(415) 936-6863
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044208
PA
390200000X
Student in an Organized Health Care Education/Training Program
DS044208
PA
Other
Enumeration date
07/05/2023
Last updated
01/22/2026
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