Individual
ARYAN FARBOD ABEDINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12685 W INDIAN SCHOOL RD # 102, AVONDALE, AZ 85392-0001
(623) 270-7420
(623) 270-7421
Mailing address
NAVAL MEDICAL CENTER 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-0001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS102809
CA
1223G0001X
General Practice Dentistry
Primary
D010480
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD0000
MEDICARE
CA
Enumeration date
07/19/2018
Last updated
07/18/2023
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