Provider Demographics
NPI:1730922360
Name:HERNANDEZ AZANZA, ATZIRI (DMD)
Entity type:Individual
Prefix:
First Name:ATZIRI
Middle Name:
Last Name:HERNANDEZ AZANZA
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 1:441 DIAZ AVE
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215-4121
Mailing Address - Country:US
Mailing Address - Phone:661-725-9882
Mailing Address - Fax:661-725-2486
Practice Address - Street 1:441 DIAZ AVE
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-4121
Practice Address - Country:US
Practice Address - Phone:661-725-9882
Practice Address - Fax:661-725-2486
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-12
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111482122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist