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Individual

DR. PAYAM OWTAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MS, DHED

Contact information

Practice address
2899 N 87TH ST STE 105, SCOTTSDALE, AZ 85257-1767
(650) 275-3843
Mailing address
2899 N 87TH ST STE 105, SCOTTSDALE, AZ 85257-1767
(520) 275-3843

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D009000
AZ

Other

Enumeration date
07/01/2014
Last updated
06/04/2020
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