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Parsa Owtad, DMD Valid NPI

Individual provider · Dentist · Peoria, AZ

NPI
1538720024
Type
Individual (Type 1)
Primary specialty
Dentist
Specialty group
Dental Providers
Taxonomy code
122300000X
License number
D010389 (AZ)
Sex
Male
Sole proprietor
No
Enumerated
2019-06-25
Last updated
2019-06-25
Practice location
13660 N 94th Dr Ste E3
Peoria, AZ 85381-4209
(623) 974-4799

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