Individual
DR. NIMA MOAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
20950 N TATUM BLVD STE 210, PHOENIX, AZ 85050-4268
(480) 538-8100
Mailing address
20950 N TATUM BLVD STE 210, PHOENIX, AZ 85050-4268
(480) 538-8100
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D011390
AZ
1223P0221X
Pediatric Dentistry
D011390
AZ
Other
Enumeration date
03/20/2018
Last updated
10/02/2022
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