Individual
RASSA ABDOLLAHZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2571 S VAL VISTA DR STE 101, GILBERT, AZ 85295-6233
(480) 597-5536
(480) 597-5624
Mailing address
2571 S VAL VISTA DR STE 101, GILBERT, AZ 85295-6233
(480) 597-5536
(480) 597-5624
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5471
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590291
AHCCCS PROVIDER ID NUMBER
AZ
Enumeration date
06/21/2006
Last updated
01/13/2020
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