Provider Demographics
NPI:1255649323
Name:AAA FAMILY & COSMETIC DENTISTRY, PLLC
Entity Type:Organization
Organization Name:AAA FAMILY & COSMETIC DENTISTRY, PLLC
Other - Org Name:AAA DENTISTRY
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEDGHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-917-3167
Mailing Address - Street 1:595 N DOBSON RD STE B24
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-4230
Mailing Address - Country:US
Mailing Address - Phone:480-917-3167
Mailing Address - Fax:480-917-2236
Practice Address - Street 1:595 N DOBSON RD STE B24
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-4230
Practice Address - Country:US
Practice Address - Phone:480-917-3167
Practice Address - Fax:480-917-2236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty