Individual
MRS. NASTARAN FOUGHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8085 W BELL RD STE 103, PEORIA, AZ 85382-3825
(623) 878-5400
Mailing address
8085 W BELL RD STE 103, PEORIA, AZ 85382-3825
(623) 878-5400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009213
AZ
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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