Individual provider · Type 1 NPI

Khosrow Benjamin Azizi, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Glenside, PA

NPI number 1881744563 Active

Practice location

242 N Keswick Ave
Glenside, PA 19038-4804

Fax (215) 576-8497

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDS025908L (PA)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…

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About NPI 1881744563

Khosrow Benjamin Azizi, DMD's National Provider Identifier is 1881744563, issued on Jan 12, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Glenside, PA. The record was last updated on Dec 17, 2019.