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Individual

POURIA OWTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
9163 W UNION HILLS DR STE 101, PEORIA, AZ 85382-8187
(623) 487-1888
(623) 487-1888
Mailing address
2534 E. RIDGE CREEK RD, PHOENIX, AZ 85024
(520) 275-1741

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8043
AZ

Other

Enumeration date
07/12/2010
Last updated
07/21/2022
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