Organization
TANNAZ MALEKZADEH DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANNAZ MALEKZADEH DMD (OWNER)
(860) 478-6363
Entity
Organization
Contact information
Practice address
20100 N 51ST AVE STE F650, GLENDALE, AZ 85308-5086
(860) 478-6363
Mailing address
20100 N 51ST AVE STE F650, GLENDALE, AZ 85308-5086
(860) 478-6363
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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