Organization · NPI-2

Aesthetic Dental Creations, PC

Dentist, General Practice · Tempe, AZ

NPI number1437201746
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1437201746
Entity type
Organization (NPI-2)
Legal business name
Aesthetic Dental Creations, PC
Organization subpart
No
Enumeration date
Jan 17, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice4837AZYes

Practice location

1455 E Guadalupe Rd
Suite 3
Tempe, AZ 85283-3951

Phone 480-345-1605 · Fax 480-831-7866

Mailing address

1455 E Guadalupe Rd
Suite 3
Tempe, AZ 85283-3951

Phone 480-345-1605 · Fax 480-831-7866

Authorized official

Payman Tasvibi-Tanha
Owner
4803451605

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