NPI | 1568192466 |
---|---|
Former Name | AZAR HOZOORI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D12259) |
Additional Taxonomies | 122300000X Dentist (Licence: WA DE61300093) |
Enumeration Date | 2022-06-14 |
Last Update Date | 2025-09-23 |