Individual
DR. AZAR GHOMIBOUJARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
123 CHAMBERS ST, NEW YORK, NY 10007-1080
(212) 587-0000
(212) 587-0033
Mailing address
123 CHAMBERS ST, NEW YORK, NY 10007-1080
(212) 587-0000
(212) 587-0033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050295
NY
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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