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 |