Individual
AYAT MAHDI OBEIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19420 N 59TH AVE STE D400, GLENDALE, AZ 85308
(602) 978-9794
Mailing address
19420 N 59TH AVE STE D400, GLENDALE, AZ 85308-2829
(602) 978-9794
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010112
AZ
Other
Enumeration date
08/07/2018
Last updated
09/04/2018
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