Individual
EHSAN POURSHIRAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4530 E RAY RD STE 170, GUARANTEED DENTAL SOLUTIONS, PHOENIX, AZ 85044-6097
(480) 417-3090
Mailing address
4530 E RAY RD STE 170, GUARANTEED DENTAL SOLUTIONS, PHOENIX, AZ 85044-6097
(480) 417-3090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61371
CA
Other
Enumeration date
06/20/2012
Last updated
12/19/2014
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