Organization
SHADIE R. AZAR, DMD, MSD,PC
Active
Other names
Azar&Kepic Periodontics&Dental Implants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHADIE R AZAR DMD,MSD (PRACTICE OWNER)
(909) 982-4169
Entity
Organization
Contact information
Practice address
250 E 7TH ST STE D, UPLAND, CA 91786-6603
(909) 982-4169
(909) 981-2149
Mailing address
250 E 7TH ST STE D, UPLAND, CA 91786-6603
(909) 982-4169
(909) 981-2149
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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