# SHALOM FIALKOFF DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Paradise Valley Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689124018
- **Authorized official:** DR. SHALOM FIALKOFF DMD (DENTIST)
- **Authorized official phone:** (480) 998-7775

## Contact information

- **Practice address:** 10555 N TATUM BLVD, A104, PARADISE VALLEY, AZ 85253-1097
- **Practice address phone:** (480) 998-7775
- **Mailing address:** 10555 N TATUM BLVD, A104, PARADISE VALLEY, AZ 85253-1097
- **Mailing address phone:** (480) 998-7775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D009065 | AZ | Yes |

## Other

- **Enumeration date:** 10/10/2016
- **Last updated:** 10/10/2016