Individual
NASRIN HASSAN HAGHIGHI FARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 E BLACKLIDGE DR APT 1021, TUCSON, AZ 85719-2702
(310) 318-4588
Mailing address
1810 E BLACKLIDGE DR APT 1021, TUCSON, AZ 85719-2702
(310) 318-4588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011159
AZ
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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