| Azita Larinajafi, Inc | |
|
1740 Weir Drive Woodbury MN 55125 | |
| (651) 738-2125 | |
| (651) 738-5902 |
| Full Name | Azita Larinajafi, Inc |
|---|---|
| Speciality | Dentist |
| Location | 1740 Weir Drive, Woodbury, Minnesota |
| Authorized Official Name and Position | Azita Sheila Ebrahimi (OWNER DENTIST) |
| Authorized Official Contact | 6517382125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azita Larinajafi, Inc 1740 Weir Drive Woodbury MN 55125 Ph: (651) 738-2125 | Azita Larinajafi, Inc 1740 Weir Drive Woodbury MN 55125 Ph: (651) 738-2125 |
| NPI Number | 1588730394 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588730394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D10875 (Minnesota) | Primary |
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