Individual
DR. ADEL SHAYEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10750 W MCDOWELL, #B200, AVONDALE, AZ 85323
(623) 388-5888
(623) 388-5904
Mailing address
10750 W MCDOWELL, #B200, AVONDALE, AZ 85323
(623) 388-5888
(623) 388-5904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4772
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
388513
AHCCCS
AZ
Enumeration date
08/19/2006
Last updated
07/08/2007
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