# YEHIA IMAM, DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801923800
- **Authorized official:** YEHIA ALY IMAM DDS (PRESIDENT)
- **Authorized official phone:** (480) 775-8056

## Contact information

- **Practice address:** 2034 E SOUTHERN AVE, SUITE A, TEMPE, AZ 85282-7522
- **Practice address phone:** (480) 775-8056
- **Practice address fax:** (480) 775-8064
- **Mailing address:** 4939 W. RAY RD., 4321, CHANDLER, AZ 85226-2065
- **Mailing address phone:** (480) 775-8056
- **Mailing address fax:** (480) 775-8064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D3255 | AZ | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 03/14/2013