Provider Demographics
NPI:1730721978
Name:PARSA, AZIN (DDS)
Entity type:Individual
Prefix:DR
First Name:AZIN
Middle Name:
Last Name:PARSA
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:1114 SALUDA CT
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1688
Mailing Address - Country:US
Mailing Address - Phone:919-338-9633
Mailing Address - Fax:
Practice Address - Street 1:5411-H KOURY ORAL HEALTH SCIENCES BUILDING
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7450
Practice Address - Country:US
Practice Address - Phone:919-537-3162
Practice Address - Fax:919-966-0705
Is Sole Proprietor?:No
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC1512601223X0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology