Organization
A 101 DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK NOZAR MANSOURIAN DDS (PRESIDENT)
(480) 423-1000
Entity
Organization
Contact information
Practice address
2899 N 87TH STREET, #100, SCOTTSDALE, AZ 85257
(480) 423-1000
(480) 423-1002
Mailing address
2899 N 87TH STREET, #100, SCOTTSDALE, AZ 85257
(480) 423-1000
(480) 423-1002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AZ4613
AZ
Other
Enumeration date
11/04/2006
Last updated
08/22/2020
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