Organization
43RD NORTHERN DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHIM SETOODEH DDS (DENTIST/OWNER)
(623) 877-5700
Entity
Organization
Contact information
Practice address
7777 N 43RD AVE, PHOENIX, AZ 85051-5712
(623) 937-0267
Mailing address
7777 N 43RD AVE, PHOENIX, AZ 85051-5712
(623) 937-0267
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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