Mehran Azar, DDS Valid NPI
Individual provider · Dentist · Bridgeport, CT
- NPI
- 1851416135
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 8681 (CT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-03-19
- Last updated
- 2007-07-08
Practice location
4699 Main Street Suite 203
Bridgeport, CT 06606
(203) 372-4200