Sonora Dental Group Multi Specialty
Dentist in Phoenix, AZ. Organization (NPI-2).
NPI number1457553166
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1457553166
- Entity type
- Organization (NPI-2)
- Legal business name
- Sonora Dental Group Multi Specialty
- Organization subpart
- No
- Enumeration date
- Jun 4, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
5501 N 19th AveSuit 305
Phoenix, AZ 85015-2450
Phone 602-544-2239 · Fax 602-544-3025
Mailing address
5501 N 19th AveSuit 305
Phoenix, AZ 85015-2450
Phone 602-544-2239 · Fax 602-544-3025
Authorized official
Benzad Solymani
Ceo
6025442239
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