Organization
DR. FARA AZAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARANAK AZAR DMD (OWNER)
(973) 744-1712
Entity
Organization
Contact information
Practice address
311 ORANGE RD, MONTCLAIR, NJ 07042-4451
(973) 744-1712
(973) 744-2903
Mailing address
311 ORANGE RD, MONTCLAIR, NJ 07042-4451
(973) 744-1712
(973) 744-2903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI019116
NJ
Other
Enumeration date
04/17/2007
Last updated
06/16/2016
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