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Organization

GHASEM K. DARIAN, D.D.S., LTD

Active
Other names
Paradise Valley Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
PAM D SHORTS (OFFICE MANAGER)
(602) 992-5600
Entity
Organization

Contact information

Practice address
4001 E BELL ROAD, STE 120, PHOENIX, AZ 85032
(602) 992-5600
(602) 992-2442
Mailing address
4001 E BELL ROAD, STE 120, PHOENIX, AZ 85032
(602) 992-5600
(602) 992-2442

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4354
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
416992
AHCCCS
AZ
Enumeration date
04/23/2007
Last updated
04/17/2008
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