# GHASEM K. DARIAN, D.D.S., LTD

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

## Provider details

- **NPI number:** 1730307059
- **Authorized official:** PAM D SHORTS (OFFICE MANAGER)
- **Authorized official phone:** (602) 992-5600

## Contact information

- **Practice address:** 4001 E BELL ROAD, STE 120, PHOENIX, AZ 85032
- **Practice address phone:** (602) 992-5600
- **Practice address fax:** (602) 992-2442
- **Mailing address:** 4001 E BELL ROAD, STE 120, PHOENIX, AZ 85032
- **Mailing address phone:** (602) 992-5600
- **Mailing address fax:** (602) 992-2442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4354 | AZ | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 04/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 416992 | AHCCCS | AZ |