Individual
NADINE SHATAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3402 W COCOPAH ST, PHOENIX, AZ 85009-6723
(602) 352-0350
Mailing address
3402 W COCOPAH ST, PHOENIX, AZ 85009-6723
(602) 352-0350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019032233
IL
1223G0001X
General Practice Dentistry
D011123
AZ
Other
Enumeration date
07/05/2019
Last updated
03/05/2026
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