Individual
SHADI H ENSHAIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 W INDIAN SCHOOL RD, PHOENIX, AZ 85017-4035
(602) 861-3333
(602) 682-7733
Mailing address
3101 W INDIAN SCHOOL RD, PHOENIX, AZ 85017-4035
(602) 861-3333
(602) 682-7733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010440
AZ
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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