Individual provider · NPI-1

Aryan Farbod Abedini, DMD

Dentist, General Practice · Avondale, AZ

NPI number1841776150

StatusActive

Last updated in NPPESJul 18, 2023

Details

NPI: 1841776150
Entity type: Individual (NPI-1)
Name: Aryan Farbod Abedini
Credential: DMD
Sex: Male
Sole proprietor: No
Enumeration date: Jul 19, 2018
Certification date: Jul 18, 2023
Last updated: Jul 18, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1223G0001X	Dentist, General Practice	D010480	AZ	Yes
122300000X	Dentist	DDS102809	CA

Practice location

12685 W Indian School Rd # 102
Avondale, AZ 85392-0001

Phone 623-270-7420 · Fax 623-270-7421

Mailing address

Naval Medical Center 34800 Bob Wilson Drive
San Diego, CA 92134-0001

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.