Individual
DR. POURYA SHAHNAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8392 W THUNDERBIRD RD, PEORIA, AZ 85381-5635
(623) 776-0700
Mailing address
963 W BLUEBIRD DR, CHANDLER, AZ 85286-7615
(480) 228-0661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D008519
AZ
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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