Individual
LISA M AZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
19 GREEN LEAF RD, BRIDGEWATER, MA 02324-2154
(508) 245-8164
(508) 697-9117
Mailing address
19 GREEN LEAF RD, BRIDGEWATER, MA 02324-2154
(508) 245-8164
(508) 697-9117
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH01410
RI
124Q00000X
Dental Hygienist
Primary
DH9993
MA
Other
Enumeration date
11/25/2012
Last updated
11/25/2012
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