Individual
RITA ROSTAMI ASRABADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1731 W BASELINE RD STE 104, MESA, AZ 85202-5730
(480) 755-1200
(480) 755-0155
Mailing address
6429 S 43RD PL, PHOENIX, AZ 85042-5216
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D07886
AZ
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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