| NPI | 1578136578 |
|---|---|
| Doing Business As | AZAR&KEPIC PERIODONTICS&DENTAL IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | SHADIE R AZAR Practice Owner 909-982-4169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-07-19 |