Individual
AZAM ZARI KHALEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
17 MAPLE DR STE 6, GREAT NECK, NY 11021-2000
(646) 483-8708
Mailing address
17 MAPLE DR STE 6, GREAT NECK, NY 11021-2000
(646) 483-8708
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
048026-1
NY
Other
Enumeration date
11/14/2008
Last updated
03/29/2019
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