Individual
DR. SAM EMADIPOUR THOMAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5220 N. DYSART RD, BLDG F, LITCHFIELD PARK, AZ 85340
(623) 935-0500
Mailing address
12529 W MONTEBELLO AVE, LITCHFIELD PARK, AZ 85340-3821
(623) 535-3935
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6552
AZ
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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