| Haleh Bazargan Dds Pllc | |
|
430 W Finnie Flat Rd Camp Verde AZ 86322-7362 | |
| (928) 567-4108 | |
| Not Available |
| Full Name | Haleh Bazargan Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 430 W Finnie Flat Rd, Camp Verde, Arizona |
| Authorized Official Name and Position | Haleh Bazargan (OWNER) |
| Authorized Official Contact | 6313880906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haleh Bazargan Dds Pllc 430 W Finnie Flat Rd Camp Verde AZ 86322-7362 Ph: () - | Haleh Bazargan Dds Pllc 430 W Finnie Flat Rd Camp Verde AZ 86322-7362 Ph: (928) 567-4108 |
| NPI Number | 1083027197 |
|---|---|
| Provider Enumeration Date | 06/05/2014 |
| Last Update Date | 06/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083027197 | NPI | - | NPPES |
| 729347 | Medicaid | AZ | |
| 758643 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8563 (Arizona) | Primary |
| 122300000X | Dentist | 2553 (Arizona) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 8377 (Arizona) | Secondary |
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