Individual
DR. MEHRAN AZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4699 MAIN STREET SUITE 203, BRIDGEPORT, CT 06606
(203) 372-4200
(203) 372-2376
Mailing address
4699 MAIN STREET SUITE 203, BRIDGEPORT, CT 06606
(203) 372-4200
(203) 372-2376
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8681
CT
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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