Ardalan, Shahab

Ardalan, Shahab is an individual health care provider with primary practice located at 6040 N 43Rd Ave Suite #4, Glendale AZ 85301-5488. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ardalan, Shahab can be contacted via phone (623) 218-2222.

Contact Information

Primary practice address
6040 N 43Rd Ave Suite #4 Glendale AZ 85301-5488
Phone: (623) 218-2222
Fax: (623) 218-2221
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D5562 Arizona

Profile Details

NPI number 1063493641
LBN Legal business name Ardalan, Shahab
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jul 8th, 2007 - about 19 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.

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