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Organization

LAKE PLEASANT KIDS DENTISTS AND ORTHODONTICS, LLP

Active
Other names
Dentists on Lake Pleasant
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEX R SHARIFIAN DDS (OWNER)
(623) 600-4638
Entity
Organization

Contact information

Practice address
24775 NORTH LAKE PLEASANT PARKWAY SUITE 104, PEORIA, AZ 85383
(623) 600-4638
(623) 707-4098
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
03/13/2020
Last updated
08/26/2024
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