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Individual

DR. MASOOD SIRJANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, PHARM.D.

Contact information

Practice address
2979 W ELLIOT RD, CHANDLER, AZ 85224-1641
(480) 775-1300
(480) 775-1304
Mailing address
706 E BELL RD STE 104, PHOENIX, AZ 85022-6641
(602) 482-7000
(602) 482-7021

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
7571
AZ
1223E0200X
Endodontics
Primary
D7571
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7571
STATE BOARD LICENSE
AZ
Enumeration date
07/04/2010
Last updated
03/17/2018
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