Individual
DR. HALEH AZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 HARVARD AVE, BROOKLINE, MA 02446-6238
(617) 738-5174
Mailing address
3 HARVARD AVE, BROOKLINE, MA 02446-6238
(617) 738-5174
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
18008
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18008
STATE LICENSE NUMBER
MA
Enumeration date
08/09/2006
Last updated
07/08/2007
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