Individual
DR. JALIL GHORBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5271 S CALLE SANTA CRUZ STE 181, TUCSON, AZ 85706-3561
(520) 889-3379
Mailing address
1031 N PARK AVE APT 805, TUCSON, AZ 85719-4430
(920) 242-1947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011106
AZ
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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