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Individual

NILOUFAR AZAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
263 FARMINGTON AVE, UCONN SCHOOL OF DENTAL MEDIC, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
52 COLONIAL CT, PLAINVILLE, CT 06062-2002
(860) 709-3175

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13277
CT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
35048
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/14/2015
Last updated
10/27/2021
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