Organization
OCOTILLO LAKES ENDODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASOOD SIRJANI DDS, PHARMD (ENDODONTIST, OWNER)
(914) 439-3638
Entity
Organization
Contact information
Practice address
3200 S ALMA SCHOOL RD STE 203, CHANDLER, AZ 85248-3773
(914) 439-3638
Mailing address
2400 W LONGHORN DR, CHANDLER, AZ 85286-6101
(914) 439-3638
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/24/2018
Last updated
12/24/2018
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