Mahtab Azimi, DDS

NPI #1336112168 in New York, New York

Provider Information

NPI Number: 1336112168
Entity Type: Individual
Name: Mahtab Azimi, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: DDS
Enumeration Date: Feb 10, 2006
Last Updated: Oct 9, 2024

Practice Location

Address: 433 E 56TH ST
Address 2: #1D
City: New York
State: New York
ZIP Code: 10022-2432
Phone: (212) 355-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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