Phoenician Dental Group INC

NPI #1952832008 in Glendale, Arizona

Provider Information

NPI Number: 1952832008
Entity Type: Organization
Organization Name: Phoenician Dental Group INC
Primary Specialty: Dentist
Enumeration Date: Mar 21, 2017
Last Updated: Mar 21, 2017

Practice Location

Address: 9160 N 43RD AVE
City: Glendale
State: Arizona
ZIP Code: 85302-3801
Phone: (623) 931-9221

Authorized Official

Name: DR. POURYA SHAHNAZ, D.M.D.
Title: OWNER
Phone: (480) 228-0661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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