Provider Demographics
NPI:1881454544
Name:ABADI DENTAL CARE P.L.L.C
Entity type:Organization
Organization Name:ABADI DENTAL CARE P.L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:BAHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ATA-ABADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-595-5688
Mailing Address - Street 1:4705 E. CAREFREE HWY, #126
Mailing Address - Street 2:#126
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331
Mailing Address - Country:US
Mailing Address - Phone:480-595-5688
Mailing Address - Fax:480-595-9233
Practice Address - Street 1:4705 E. CAREFREE HWY, #126
Practice Address - Street 2:#126
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331
Practice Address - Country:US
Practice Address - Phone:480-595-5688
Practice Address - Fax:480-595-9233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty