Organization
AZALEA SHARIFI DMD, LLC
Active
Other names
Evansburg Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZALEA A SHARIFI DMD, PH.D (DENTIST/OWNER)
(215) 380-4967
Entity
Organization
Contact information
Practice address
3801 GERMANTOWN PIKE STE 107, COLLEGEVILLE, PA 19426-4019
(610) 489-6363
(610) 489-8363
Mailing address
8 FARAWAY FARMS CT, COLLEGEVILLE, PA 19426-3825
(215) 380-4967
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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