Provider Demographics
NPI:1730337221
Name:AZARY, ARMINA (DMD)
Entity type:Individual
Prefix:DR
First Name:ARMINA
Middle Name:
Last Name:AZARY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9365 OLDE 8 RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44067-2052
Mailing Address - Country:US
Mailing Address - Phone:330-467-0504
Mailing Address - Fax:
Practice Address - Street 1:46 RAVENNA ST STE A6
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-3058
Practice Address - Country:US
Practice Address - Phone:330-467-0504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30023097122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist