Individual
HALEH BAZARGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
430 W FINNIE FLAT RD, CAMP VERDE, AZ 86322-7362
(631) 388-0906
Mailing address
5544 E SHEENA DR, SCOTTSDALE, AZ 85254-2959
(631) 388-0906
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8563
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
758643
—
AZ
Enumeration date
06/28/2011
Last updated
03/28/2014
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