Individual
KAMAL ALFAKIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3170 N ARIZONA AVE, STE1, CHANDLER, AZ 85225-7164
(480) 558-4741
Mailing address
236 W CALLE MONTE VIS, TEMPE, AZ 85284-2200
(716) 316-6630
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6779
AZ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE00010374
WA
Other
Enumeration date
12/14/2006
Last updated
08/13/2007
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