Individual
DR. NADIA SHIRIN FAZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4730 BECKNER RD, SANTA FE, NM 87507-3691
(505) 989-4500
(505) 443-8361
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD5234
NM
Other
Enumeration date
01/05/2015
Last updated
02/15/2025
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