Pourya Shahnaz, DMD Valid NPI
Individual provider · Dentist · Peoria, AZ
- NPI
- 1073860235
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D008519 (AZ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2012-08-07
- Last updated
- 2012-08-07
Practice location
8392 W Thunderbird Rd
Peoria, AZ 85381-5635
(623) 776-0700