Individual
DR. GHASEM K DARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
20165 N 67TH AVE STE 103, GLENDALE, AZ 85308-7003
(623) 931-5467
(623) 931-5469
Mailing address
20165 N 67TH AVE STE 103, GLENDALE, AZ 85308-7003
(623) 931-5467
(623) 931-5469
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4354
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
416992
AHCCCS
AZ
01
—
976690
UNITED CONCORDIA
AZ
Enumeration date
12/19/2006
Last updated
04/17/2008
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