| S.a.s.d Pc Dba Desertview Dental Care | |
|
8987 W Olive Ave Ste 120 Peoria AZ 85345-9126 | |
| (623) 773-1882 | |
| (623) 773-2745 |
| Full Name | S.a.s.d Pc Dba Desertview Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 8987 W Olive Ave Ste 120, Peoria, Arizona |
| Authorized Official Name and Position | Ramin Sani (PRESIDENT) |
| Authorized Official Contact | 6237731882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S.a.s.d Pc Dba Desertview Dental Care 8987 W Olive Ave Ste 120 Peoria AZ 85345-9126 Ph: () - | S.a.s.d Pc Dba Desertview Dental Care 8987 W Olive Ave Ste 120 Peoria AZ 85345-9126 Ph: (623) 773-1882 |
| NPI Number | 1962552521 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962552521 | NPI | - | NPPES |
| D4896 | Other | AZ | DENTAL LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D4896 (Arizona) | Primary |
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