Provider Demographics
NPI:1477505006
Name:AZAR-MEHR, ARLEEN PAK (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:ARLEEN
Middle Name:PAK
Last Name:AZAR-MEHR
Suffix:
Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:9535 RESEDA BLVD
Mailing Address - Street 2:#206
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-2310
Mailing Address - Country:US
Mailing Address - Phone:818-886-6666
Mailing Address - Fax:818-886-6662
Practice Address - Street 1:9535 RESEDA BLVD
Practice Address - Street 2:#206
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-2310
Practice Address - Country:US
Practice Address - Phone:818-886-6666
Practice Address - Fax:818-886-6662
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA428021223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics