Provider Demographics
NPI:1710611272
Name:AZZAWI, SAIF (DDS)
Entity Type:Individual
Prefix:
First Name:SAIF
Middle Name:
Last Name:AZZAWI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1958 W GRAY ST APT 1002
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-4844
Mailing Address - Country:US
Mailing Address - Phone:832-314-3210
Mailing Address - Fax:
Practice Address - Street 1:6015 HILLCROFT ST STE 1600
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-1022
Practice Address - Country:US
Practice Address - Phone:832-381-1361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX385061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice