| Desert Lake Family Dentistry Inc | |
|
10750 W Mcdowell Rd #b200 Avondale AZ 85323-5960 | |
| (623) 388-5888 | |
| (623) 388-5904 |
| Full Name | Desert Lake Family Dentistry Inc |
|---|---|
| Speciality | Dentist |
| Location | 10750 W Mcdowell Rd, Avondale, Arizona |
| Authorized Official Name and Position | Adel Shayegan (PRESIDENT) |
| Authorized Official Contact | 62338858888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Lake Family Dentistry Inc 10750 W Mcdowell Rd #b200 Avondale AZ 85323-5960 Ph: (623) 388-5888 | Desert Lake Family Dentistry Inc 10750 W Mcdowell Rd #b200 Avondale AZ 85323-5960 Ph: (623) 388-5888 |
| NPI Number | 1831301266 |
|---|---|
| Provider Enumeration Date | 05/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831301266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4772 (Arizona) | Primary |
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