DR. SHADIE AZAR, D.M.D.
Dentist - Periodontics
Active
Individual
NPI: 1144600289
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | DS041118 (PA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | 3902000000X (PA) |
| Dentist - Periodontics | 1223P0300X | Yes | 105586 (CA) |
Frequently Asked Questions
NPI 1144600289 is the National Provider Identifier for DR. SHADIE AZAR, D.M.D., a Dentist - Periodontics provider located in Upland, CA. This NPI was enumerated on June 3, 2015.
DR. SHADIE AZAR, D.M.D. practices at 250 E 7TH ST STE D, Upland, CA 91786.
Quick Facts
- NPI
- 1144600289
- Type
- Individual
- Enumerated
- Jun 3, 2015
- Last Updated
- Jan 12, 2021
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