Organization
THE WIGGLY TOOTH PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAJMEH SHAHBAZI DMD (PEDIATRIC DENTIST)
(480) 358-7224
Entity
Organization
Contact information
Practice address
10401 E MCDOWELL MOUNTAIN RANCH RD STE 130, SCOTTSDALE, AZ 85255-7525
(480) 358-7224
Mailing address
29211 N 23RD DR, PHOENIX, AZ 85085-2753
(480) 358-7224
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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