Individual
DR. NICOLE AZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8606 VILLAGE DR STE B, SAN ANTONIO, TX 78217-5506
(210) 654-6882
Mailing address
8606 VILLAGE DR STE B, SAN ANTONIO, TX 78217-5506
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
107797
CA
122300000X
Dentist
40138
TX
1223P0221X
Pediatric Dentistry
Primary
40138
TX
Other
Enumeration date
08/18/2022
Last updated
07/27/2025
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