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Dr. Benjamin K Azizi
Dental Clinic/Center in Glenside, Pennsylvania
NPI 1427695931

Dr. Benjamin K Azizi is a Dental Clinic/Center based in Glenside, PA and is specialized in Dental. Dr. Benjamin K Azizi practices in Glenside, PA. The NPI Number for Dr. Benjamin K Azizi is 1427695931 and holds a License No. (Pennsylvania).

The current practice location address for Dr. Benjamin K Azizi is 242 N Keswick Ave, Glenside, PA and can be reached out via phone at 215-576-6414.

Location: 242 N Keswick Ave, Glenside, PA, 19038-4830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427695931
Provider Name
Dr. Benjamin K Azizi
Credential
Provider Entity Type
Organization
Address
242 N Keswick Ave, Glenside, PA, 19038-4830
Phone Number
215-576-6414
Fax Number
Provider Enumeration Date
12/03/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1881744563 01 PA ORTHODONTICS
institution
Provider Business Practice Location Address Details
Address
242 N Keswick Ave
City
Glenside
State
Pennsylvania
Zip
19038-4830
Phone Number
215-576-6414
Fax Number
person
Provider Business Mailing Address Details
Address
242 N Keswick Ave
City
Glenside
State
Pennsylvania
Zip
19038-4830
Phone Number
215-576-6414
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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