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Organization

DESERT LAKE FAMILY DENTISTRY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADEL SHAYEGAN DMD (PRESIDENT)
62338858888
Entity
Organization

Contact information

Practice address
10750 W MCDOWELL RD, #B200, AVONDALE, AZ 85323-5960
(623) 388-5888
(623) 388-5904
Mailing address
10750 W MCDOWELL RD, #B200, AVONDALE, AZ 85323-5960
(623) 388-5888
(623) 388-5904

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4772
AZ

Other

Enumeration date
05/06/2007
Last updated
08/22/2020
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