Organization
AESTHETIC DENTAL CREATIONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAYMAN TASVIBI-TANHA DDS,MS (OWNER)
(480) 345-1605
Entity
Organization
Contact information
Practice address
1455 E GUADALUPE RD, SUITE 3, TEMPE, AZ 85283-3951
(480) 345-1605
(480) 831-7866
Mailing address
1455 E GUADALUPE RD, SUITE 3, TEMPE, AZ 85283-3951
(480) 345-1605
(480) 831-7866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4837
AZ
Other
Enumeration date
01/17/2007
Last updated
08/22/2020
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