Organization
DERMAL WELLNESS GROUP LLC
Active
Organization
DERMAL WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIBA NOWTASH (OWNER)
(602) 318-7273
Entity
Organization
Contact information
Practice address
4425 E AGAVE RD STE 106, PHOENIX, AZ 85044-0620
(407) 982-4876
(407) 650-2754
Mailing address
4425 E AGAVE RD STE 106, PHOENIX, AZ 85044-0620
(407) 982-4876
(407) 650-2754
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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