| Ismail Moayedpardazi Dmd Pllc | |
|
20261 E Ocotillo Rd Ste 120 Queen Creek AZ 85142-8806 | |
| (480) 987-8768 | |
| Not Available |
| Full Name | Ismail Moayedpardazi Dmd Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20261 E Ocotillo Rd Ste 120, Queen Creek, Arizona |
| Authorized Official Name and Position | Seyed Ismail Moayedpardazi (OWNER) |
| Authorized Official Contact | 4806200596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismail Moayedpardazi Dmd Pllc 20261 E Ocotillo Rd Ste 120 Queen Creek AZ 85142-8806 Ph: (480) 987-8768 | Ismail Moayedpardazi Dmd Pllc 20261 E Ocotillo Rd Ste 120 Queen Creek AZ 85142-8806 Ph: (480) 987-8768 |
| NPI Number | 1659856151 |
|---|---|
| Provider Enumeration Date | 10/01/2018 |
| Last Update Date | 10/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659856151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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