Organization
YEHIA IMAM, DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEHIA ALY IMAM DDS (PRESIDENT)
(480) 775-8056
Entity
Organization
Contact information
Practice address
2034 E SOUTHERN AVE, SUITE A, TEMPE, AZ 85282-7522
(480) 775-8056
(480) 775-8064
Mailing address
4939 W. RAY RD., 4321, CHANDLER, AZ 85226-2065
(480) 775-8056
(480) 775-8064
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3255
AZ
Other
Enumeration date
02/27/2007
Last updated
03/14/2013
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