Individual
FARZAN MOJGANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5929 W. PEORIA AVE. SUITE 101, GLENDALE, AZ 85302
(623) 432-3386
Mailing address
5929 W. PEORIA AVE. SUITE 101, GLENDALE, AZ 85302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009308
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2015
Last updated
07/17/2015
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