Provider Demographics
NPI:1720358542
Name:ISKANDAR, IRMA (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:IRMA
Middle Name:
Last Name:ISKANDAR
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6345 E BELL RD
Mailing Address - Street 2:#1
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-6452
Mailing Address - Country:US
Mailing Address - Phone:480-607-3600
Mailing Address - Fax:480-998-9289
Practice Address - Street 1:6345 E BELL RD
Practice Address - Street 2:#1
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6452
Practice Address - Country:US
Practice Address - Phone:480-607-3600
Practice Address - Fax:480-998-9289
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE601825961223P0300X
AZD0086061223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics