Individual
PARIA HOOSHMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 S ANANEA, MESA, AZ 85209-4944
(520) 300-0646
Mailing address
2345 S ANANEA, MESA, AZ 85209-4944
(520) 300-0646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010151
AZ
Other
Enumeration date
08/13/2018
Last updated
12/01/2020
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