Individual
PAYAM AZIZKHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2757 GREEN SPRINGS HWY, BIRMINGHAM, AL 35209-4903
(205) 379-7020
Mailing address
2757 GREEN SPRINGS HWY, BIRMINGHAM, AL 35209-4903
(205) 379-7020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D.007219-C1
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2023
Last updated
06/27/2024
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