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Dr. Khosrow Benjamin Azizi, DMD
Orthodontics and Dentofacial Orthopedic Dentist in Glenside, Pennsylvania
NPI 1881744563

Khosrow Benjamin Azizi is a Orthodontics and Dentofacial Orthopedic Dentist based in Glenside, PA and is specialized in Orthodontics and Dentofacial Orthopedics. Khosrow Benjamin Azizi practices in Glenside, PA and has the professional credentials of DMD. The NPI Number for Khosrow Benjamin Azizi is 1881744563 and holds a License No. DS025908L (Pennsylvania).

The current practice location address for Khosrow Benjamin Azizi is 242 N Keswick Ave, Glenside, PA and can be reached out via phone at 215-576-6414 and via fax at 215-576-8497.

Location: 242 N Keswick Ave, Glenside, PA, 19038-4804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881744563
Provider Name
Khosrow Benjamin Azizi
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
242 N Keswick Ave, Glenside, PA, 19038-4804
Phone Number
215-576-6414
Fax Number
215-576-8497
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
505604 01 PA UNITED CONCORDIA ID NUMBE
institution
Provider Business Practice Location Address Details
Address
242 N Keswick Ave
City
Glenside
State
Pennsylvania
Zip
19038-4804
Phone Number
215-576-6414
Fax Number
215-576-8497
person
Provider Business Mailing Address Details
Address
242 N Keswick Ave
City
Glenside
State
Pennsylvania
Zip
19038-4804
Phone Number
215-576-6414
Fax Number
215-576-8497
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
DS025908L (Pennsylvania)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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