Organization
VALLEY DENTAL ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMAN FARNOUSH MD (PRESIDENT)
(602) 273-6770
Entity
Organization
Contact information
Practice address
4441 E MCDOWELL RD, SUITE 101, PHOENIX, AZ 85008-4503
(602) 273-6770
Mailing address
PO BOX 29211, PHOENIX, AZ 85038-9211
(602) 273-6770
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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