Healthcare Provider Details

I. General information

NPI: 1063586246
Provider Name (Legal Business Name): ROYA ZOJAJI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 01/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10752 N 89TH PL STE 214
SCOTTSDALE AZ
85260-6251
US

IV. Provider business mailing address

10752 N 89TH PL STE 214
SCOTTSDALE AZ
85260-6251
US

V. Phone/Fax

Practice location:
  • Phone: 480-614-8222
  • Fax: 480-614-8225
Mailing address:
  • Phone: 480-614-8222
  • Fax: 480-614-8225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number5488
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: