| Arizona Royal Dental | |
|
5130 W Baseline Rd 111 Laveen AZ 85339-2984 | |
| (602) 237-7878 | |
| Not Available |
| Full Name | Arizona Royal Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5130 W Baseline Rd, Laveen, Arizona |
| Authorized Official Name and Position | Abbas Nejad (OWNER) |
| Authorized Official Contact | 6022377878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Royal Dental 5130 W Baseline Rd 111 Laveen AZ 85339-2984 Ph: (602) 237-7878 | Arizona Royal Dental 5130 W Baseline Rd 111 Laveen AZ 85339-2984 Ph: (602) 237-7878 |
| NPI Number | 1316339468 |
|---|---|
| Provider Enumeration Date | 02/26/2015 |
| Last Update Date | 02/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316339468 | NPI | - | NPPES |
| 441684 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D04852 (Arizona) | Primary |
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