Individual
DR. MEHRDAD HAZRATI ASHTIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3229 E GREENWAY RD, #103, PHOENIX, AZ 85032
(602) 923-0700
(602) 923-0800
Mailing address
3229 E GREENWAY RD, #103, PHOENIX, AZ 85032
(602) 923-0700
(602) 923-0800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5000
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
502501
AHCCESS
AZ
Enumeration date
11/16/2005
Last updated
04/05/2012
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