Individual
MEHRDAD EBADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4901 W BELL RD STE 140, GLENDALE, AZ 85308-3416
(602) 671-0303
Mailing address
4901 W BELL RD STE 140, GLENDALE, AZ 85308-3416
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011083
AZ
Other
Enumeration date
07/06/2021
Last updated
07/07/2021
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