Individual
DR. LAILA BAHARLOO HISHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5920 N LA CHOLLA BLVD, STE 110, TUCSON, AZ 85741-3590
(520) 544-4171
(520) 544-4172
Mailing address
5920 N LA CHOLLA BLVD, TUCSON, AZ 85741-3590
(520) 544-4171
(520) 544-4172
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5679
AZ
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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