Abdollahzadeh, Rassa
Abdollahzadeh, Rassa is an individual health care provider with primary practice located at 2571 S Val Vista Dr Ste 101 , Gilbert AZ 85295-6233. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Abdollahzadeh, Rassa can be contacted via phone (480) 597-5536.Contact Information
Primary practice address
2571 S Val Vista Dr Ste 101
Gilbert AZ 85295-6233
Phone: (480) 597-5536
Fax: (480) 597-5624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 5471 | Arizona |
Profile Details
| NPI number | 1225074040 |
|---|---|
| LBN Legal business name | Abdollahzadeh, Rassa |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jan 13th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225074040 | NPPES |
| Arizona | Other | 590291 | AHCCCS PROVIDER ID NUMBER |
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