| Tannaz Malekzadeh Dmd | |
|
20100 N 51st Ave Ste F650 Glendale AZ 85308-5086 | |
| (860) 478-6363 | |
| Not Available |
| Full Name | Tannaz Malekzadeh Dmd |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 20100 N 51st Ave Ste F650, Glendale, Arizona |
| Authorized Official Name and Position | Tannaz Malekzadeh (OWNER) |
| Authorized Official Contact | 8604786363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tannaz Malekzadeh Dmd 20100 N 51st Ave Ste F650 Glendale AZ 85308-5086 Ph: (860) 478-6363 | Tannaz Malekzadeh Dmd 20100 N 51st Ave Ste F650 Glendale AZ 85308-5086 Ph: (860) 478-6363 |
| NPI Number | 1417732363 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417732363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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