DR. Khosrow Benjamin Azizi, D.M.D.
NPI #1881744563 in Glenside, Pennsylvania
Provider Information
- NPI Number
- 1881744563
- Entity Type
- Individual
- Name
- DR. Khosrow Benjamin Azizi, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- D.M.D.
- Enumeration Date
- Jan 12, 2007
- Last Updated
- Dec 17, 2019
Practice Location
- Address
- 242 N KESWICK AVE
- City
- Glenside
- State
- Pennsylvania
- ZIP Code
- 19038-4804
- Phone
- (215) 576-6414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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