DR. Mostafa Hedayat

NPI #1922671023 in Laveen, Arizona

Provider Information

NPI Number: 1922671023
Entity Type: Individual
Name: DR. Mostafa Hedayat
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jul 19, 2021
Last Updated: Jul 19, 2021

Practice Location

Address: 5045 W BASELINE RD
City: Laveen
State: Arizona
ZIP Code: 85339-7392
Phone: (602) 237-0613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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