Dr. Fara Azar, Llc | |
311 Orange Rd Montclair NJ 07042-4451 | |
(973) 744-1712 | |
(973) 744-2903 |
Full Name | Dr. Fara Azar, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 311 Orange Rd, Montclair, New Jersey |
Authorized Official Name and Position | Faranak Azar (OWNER) |
Authorized Official Contact | 9737441712 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr. Fara Azar, Llc 311 Orange Rd Montclair NJ 07042-4451 Ph: (973) 744-1712 | Dr. Fara Azar, Llc 311 Orange Rd Montclair NJ 07042-4451 Ph: (973) 744-1712 |
NPI Number | 1962628180 |
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Provider Enumeration Date | 04/17/2007 |
Last Update Date | 06/16/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962628180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DI019116 (New Jersey) | Primary |
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