Individual
DR. KHOSROW BENJAMIN AZIZI
Active
Individual
DR. KHOSROW BENJAMIN AZIZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS025908L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
505604
UNITED CONCORDIA ID NUMBE
PA
Enumeration date
01/12/2007
Last updated
12/17/2019
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