Individual
BITA VAGHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3170 N ARIZONA AVE, CHANDLER, AZ 85225-7164
(480) 281-5474
Mailing address
3170 N ARIZONA AVE, CHANDLER, AZ 85225-7164
(805) 440-9474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009828
AZ
1223G0001X
General Practice Dentistry
D10785
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500740456
—
OR
Enumeration date
01/09/2018
Last updated
05/02/2023
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