Individual
LIAT FURYAN-BANACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2950 N DOBSON RD, SUITE 18, CHANDLER, AZ 85224-1800
(480) 899-0448
Mailing address
22307 N DIETZ DR, MARICOPA, AZ 85138-5560
(520) 705-9920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6471
AZ
Other
Enumeration date
04/25/2007
Last updated
01/17/2013
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