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Organization

THE REAL DR. PHOENIX, LLC

Active
Other names
Scottsdale Dental Aesthetics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OMAR KARABOULAD DMD (OWNER/DOCTOR)
(480) 991-3244
Entity
Organization

Contact information

Practice address
6920 E SHEA BLVD STE 101, SCOTTSDALE, AZ 85254-6185
(480) 991-3244
(480) 922-9253
Mailing address
6920 E SHEA BLVD STE 101, SCOTTSDALE, AZ 85254-6185
(480) 991-3244
(480) 922-9253

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
06/30/2025
Last updated
06/30/2025
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