Shahab Ardalan, D.D.S.

NPI #1063493641 in Glendale, Arizona

Provider Information

NPI Number: 1063493641
Entity Type: Individual
Name: Shahab Ardalan, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Nov 9, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 6040 N 43RD AVE
Address 2: SUITE #4
City: Glendale
State: Arizona
ZIP Code: 85301-5488
Phone: (623) 218-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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