Organization
DR. BENJAMIN K AZIZI
Active
Other names
Advanced Orthodontic Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN K AZIZI D.M.D., M.S (ORTHODONTIST)
(215) 576-6414
Entity
Organization
Contact information
Practice address
242 N KESWICK AVE, GLENSIDE, PA 19038-4830
(215) 576-6414
Mailing address
242 N KESWICK AVE, GLENSIDE, PA 19038-4830
(215) 576-6414
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881744563
ORTHODONTICS
PA
Enumeration date
12/03/2019
Last updated
12/03/2019
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