Individual
DR. ARDESHIR DABESTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
16816 N 35TH AVE STE 9, PHOENIX, AZ 85053-2977
(602) 978-1932
(602) 938-7407
Mailing address
16816 N 35TH AVE STE 9, PHOENIX, AZ 85053-2977
(602) 978-1932
(602) 938-7407
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5049
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5049
STATE LICENSE NUMBER
AZ
Enumeration date
02/28/2007
Last updated
07/08/2007
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