Individual
ANNA AZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D011543
AZ
1223P0221X
Pediatric Dentistry
DN1856596
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620146
MASSACHUSETTS LICENCE NUMBER
MA
01
—
D011543
DENTAL LICENSE
AZ
Enumeration date
07/11/2014
Last updated
03/31/2025
Update your record
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