Provider Demographics
NPI:1750511358
Name:AFKHAMI, TALAYEH (DDS)
Entity Type:Individual
Prefix:DR
First Name:TALAYEH
Middle Name:
Last Name:AFKHAMI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7181 E CAMELBACK RD
Mailing Address - Street 2:701
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251
Mailing Address - Country:US
Mailing Address - Phone:301-213-6343
Mailing Address - Fax:
Practice Address - Street 1:7181 E CAMELBACK RD
Practice Address - Street 2:701
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-1279
Practice Address - Country:US
Practice Address - Phone:301-213-6343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ77881223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics