Organization
PHOENICIAN DENTAL GROUP INC
Active
Other names
Associated Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POURYA SHAHNAZ D.M.D. (OWNER)
(480) 228-0661
Entity
Organization
Contact information
Practice address
9160 N 43RD AVE, GLENDALE, AZ 85302-3801
(623) 931-9221
Mailing address
9233 E PINE VALLEY RD, SCOTTSDALE, AZ 85260-2847
(480) 228-0661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D008519
AZ
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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