Individual
DR. TAKISH ZIAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
865 N ARIZOLA RD, CASA GRANDE, AZ 85122-6011
(520) 381-0381
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401412713
VA
1223P0221X
Pediatric Dentistry
60294023
WA
1223P0221X
Pediatric Dentistry
Primary
D010986
AZ
Other
Enumeration date
08/11/2012
Last updated
10/04/2022
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