Organization · NPI-2

Affordable Dentures & Implants - Avondale, P.C.

Dentist, General Practice · Avondale, AZ

NPI number1407567837
StatusActive
Last updated in NPPESDec 6, 2022

Details

NPI
1407567837
Entity type
Organization (NPI-2)
Legal business name
Affordable Dentures & Implants - Avondale, P.C.
Organization subpart
No
Enumeration date
Dec 6, 2022
Certification date
Dec 6, 2022
Last updated
Dec 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

1619 N Dysart Rd Ste 105
Avondale, AZ 85392-1200

Phone 623-688-5596

Mailing address

1619 N Dysart Rd Ste 105
Avondale, AZ 85392-1200

Phone 623-688-5596

Authorized official

Nozar Tarkesh
Owner
6236885596

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