Organization
BAZARGAN FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HALEH BAZARGAN DDS (OWNER DENTIST)
(631) 388-0906
Entity
Organization
Contact information
Practice address
9220 E RAINTREE DR, SUITE 102, SCOTTSDALE, AZ 85260-7589
(480) 614-4200
Mailing address
9220 E RAINTREE DR, SUITE 102, SCOTTSDALE, AZ 85260-7589
(480) 614-4200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8563
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
758643
—
AZ
Enumeration date
12/09/2015
Last updated
12/09/2015
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