Organization
NAIOOM DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADI NAIOOM DMD (OWNER)
(480) 993-6174
Entity
Organization
Contact information
Practice address
2158 N GILBERT RD, MESA, AZ 85203-2109
(480) 993-6174
Mailing address
2158 N GILBERT RD, MESA, AZ 85203-2109
(480) 993-6174
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
944049
—
AZ
Enumeration date
10/22/2020
Last updated
10/22/2020
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