Organization
ATLANTIC DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHRDAD HAZRATI ASHTINANI DDS (DENTIST)
(602) 923-0700
Entity
Organization
Contact information
Practice address
3229 E GREENWAY RD, SUITE #103, PHOENIX, AZ 85032
(602) 923-0700
(602) 923-0800
Mailing address
3229 E GREENWAY RD, SUITE #103, PHOENIX, AZ 85032
(602) 923-0700
(602) 923-0800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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