Individual
MICHAEL AZZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
240 LANYARD LN, GREENVILLE, SC 29607-4687
(864) 404-1862
Mailing address
1 WINCHESTER CT, MAULDIN, SC 29662-2626
(864) 234-5515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD10798
SC
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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