Individual provider · NPI-1

Dr. Azita Adelynia, D.D.S

Dentist · Anaheim, CA

NPI number1639389489
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1639389489
Entity type
Individual (NPI-1)
Name
Dr. Azita Adelynia
Credential
D.D.S
Sex
Female
Sole proprietor
No
Enumeration date
May 23, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist38789CAYes

Practice location

8170 E Santa Ana Canyon Rd
Suite 192
Anaheim, CA 92808-1106

Phone 714-283-0815 · Fax 714-283-0847

Mailing address

8170 E Santa Ana Canyon Rd
Suite 192
Anaheim, CA 92808-1106

Phone 714-283-0815 · Fax 714-283-0847

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