Azar, Shadie R

Azar, Shadie R is an individual health care provider with primary practice located at 250 E 7Th St Ste D , Upland CA 91786-6685. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Azar, Shadie R can be contacted via phone (951) 316-3384.

Contact Information

Primary practice address
250 E 7Th St Ste D Upland CA 91786-6685
Phone: (951) 316-3384
Fax: (909) 981-2149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS041118 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 3902000000X Pennsylvania
Dental Providers / Periodontics 1223P0300X 105586 California

Profile Details

NPI number 1144600289
LBN Legal business name Azar, Shadie R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2015
Last updated Jan 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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