Provider Demographics
NPI:1669668307
Name:AZIZI, LAWLAY NAEIMASA (DMD)
Entity Type:Individual
Prefix:DR
First Name:LAWLAY
Middle Name:NAEIMASA
Last Name:AZIZI
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 1:10452 E QUARTZ ROCK RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-8013
Mailing Address - Country:US
Mailing Address - Phone:480-280-6436
Mailing Address - Fax:480-247-3248
Practice Address - Street 1:10452 E QUARTZ ROCK RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-8013
Practice Address - Country:US
Practice Address - Phone:480-280-6436
Practice Address - Fax:480-247-3248
Is Sole Proprietor?:No
Enumeration Date:2007-09-17
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD07896122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist