Organization
IRWIN L AZAR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRWIN L AZAR DDS (PRESIDENT)
(718) 998-1818
Entity
Organization
Contact information
Practice address
1644 E 14TH ST, BROOKLYN, NY 11229-1104
(718) 998-1818
(718) 645-4393
Mailing address
1644 E 14TH ST, BROOKLYN, NY 11229-1104
(718) 998-1818
(718) 645-4393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0268111
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01410168
—
NY
Enumeration date
03/20/2008
Last updated
03/20/2008
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