Organization
NORDENT LLC
Active
Other names
ULTRASMILE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARID EBRAHIM D.D.S. (DENTIST)
(480) 830-3138
Entity
Organization
Contact information
Practice address
1423 S HIGLEY RD, STE. 123, MESA, AZ 85206-3429
(480) 830-3138
(480) 830-3158
Mailing address
1423 S HIGLEY RD, STE. 123, MESA, AZ 85206-3429
(480) 830-3138
(480) 830-3158
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4832
AZ
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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