Individual
DR. MICHAEL A. MAZAHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
725 W ELLIOT RD, #104, GILBERT, AZ 85233-5301
(480) 633-1481
(480) 633-1483
Mailing address
7368 E ADELE CT, SCOTTSDALE, AZ 85255-6124
(614) 975-1330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6509
AZ
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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