Individual
DR. GOLBARG POURKHOMAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10240 N 31ST AVE STE 100, PHOENIX, AZ 85051-9564
(602) 944-7199
(602) 944-7781
Mailing address
10240 N 31ST AVE STE 100, PHOENIX, AZ 85051-9564
(602) 944-7199
(602) 944-7781
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6008
AZ
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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