Individual
LOBNA BANIMOSTAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 S SIGNAL BUTTE RD STE 107, MESA, AZ 85209-2601
(480) 305-0877
Mailing address
190 W OCOTILLO RD APT 600, QUEEN CREEK, AZ 85140-8807
(720) 462-9948
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00205834
CO
122300000X
Dentist
Primary
D012623
AZ
Other
Enumeration date
12/26/2023
Last updated
11/14/2025
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