Organization
ADMIRE FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK NOZAR MANSOURIAN DDS (PRESIDENT)
(480) 607-6646
Entity
Organization
Contact information
Practice address
10505 N 69TH STREET, SUITE 900, SCOTTSDALE, AZ 85253
(480) 607-6646
(480) 607-1475
Mailing address
10505 N 69TH STREET, SUITE 900, SCOTTSDALE, AZ 85253
(480) 607-6646
(480) 607-1475
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AZ4613
AZ
Other
Enumeration date
11/16/2006
Last updated
09/03/2008
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