Provider Demographics
NPI:1316018773
Name:RAZURI, SOLEDAD (DDS)
Entity Type:Individual
Prefix:DR
First Name:SOLEDAD
Middle Name:
Last Name:RAZURI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10390 E BAHIA DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-8674
Mailing Address - Country:US
Mailing Address - Phone:480-664-0084
Mailing Address - Fax:
Practice Address - Street 1:5533 E BELL RD
Practice Address - Street 2:BUILDING B, SUITE 115
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-1228
Practice Address - Country:US
Practice Address - Phone:480-216-1964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD57581223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry