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Individual

DR. BAHAR F. ATA-ABADI

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1904 W PARKSIDE LN, SUITE 201, PHOENIX, AZ 85027-1228
(623) 434-9343
(623) 321-6268
Mailing address
6377 E RED BIRD RD, SCOTTSDALE, AZ 85262-8874
(623) 434-9343
(623) 321-6268

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5070
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
527559
AZ
Enumeration date
04/03/2006
Last updated
07/09/2007
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