Ashtiani, Mehrdad Hazrati
Ashtiani, Mehrdad Hazrati is an sole proprietor health care provider with primary practice located at 3229 E Greenway Rd #103, Phoenix AZ 85032. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ashtiani, Mehrdad Hazrati can be contacted via phone (602) 923-0700.Contact Information
Primary practice address
3229 E Greenway Rd #103
Phoenix AZ 85032
Phone: (602) 923-0700
Fax: (602) 923-0800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5000 | Arizona |
Profile Details
| NPI number | 1912989963 |
|---|---|
| LBN Legal business name | Ashtiani, Mehrdad Hazrati |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Apr 5th, 2012 - about 14 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 | 1912989963 | NPPES |
| Arizona | Other | 502501 | AHCCESS |
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