Individual
DEAN FASCIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
483 W. SEED FARM RD, SACATON, AZ 85147-0038
(602) 528-1200
(602) 528-1255
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
(602) 528-1200
(602) 528-1255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1871
AZ
Other
Enumeration date
08/06/2012
Last updated
05/07/2014
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