Individual
MR. AJANG AJZACHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
111 EAST 210 STREET, BRONX, NY 10467
(718) 920-6033
Mailing address
400E 57TH STREET, 124, NEW YORK CITY, NY 10022
(332) 251-5334
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
11/19/2024
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