Desert Lake Family Dentistry Inc | |
10750 W Mcdowell Rd #b200 Avondale AZ 85323-5960 | |
(623) 388-5888 | |
(623) 388-5904 |
Full Name | Desert Lake Family Dentistry Inc |
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Speciality | Dentist |
Location | 10750 W Mcdowell Rd, Avondale, Arizona |
Authorized Official Name and Position | Adel Shayegan (PRESIDENT) |
Authorized Official Contact | 62338858888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Desert Lake Family Dentistry Inc 10750 W Mcdowell Rd #b200 Avondale AZ 85323-5960 Ph: (623) 388-5888 | Desert Lake Family Dentistry Inc 10750 W Mcdowell Rd #b200 Avondale AZ 85323-5960 Ph: (623) 388-5888 |
NPI Number | 1831301266 |
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Provider Enumeration Date | 05/06/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831301266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4772 (Arizona) | Primary |
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