Individual
DR. PARSA OWTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13660 N 94TH DR STE E3, PEORIA, AZ 85381-4209
(623) 974-4799
Mailing address
6975 E PRINCESS DR APT 3049, PHOENIX, AZ 85054-4231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010389
AZ
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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