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NPI Code Detail

MEDICARE: DR. ASHKAN ESKANDARI DMD

MEDICARE:  DR. ASHKAN  ESKANDARI  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryD7871AZ

General Provider Information

NPI Number : 1871725275
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHKAN ESKANDARI DMD
Provider Business Mailing Address
First Line : 2030 W BASELINE RD
Second Line : SUITE 176
City : PHOENIX
State : AZ
Zip : 85041-6574
Country : US
Telephone Number : 602-507-6580
Fax Number : 602-507-6582
Provider Business Practice Location Address
First Line : 2030 W BASELINE RD
Second Line : SUITE 176
City : PHOENIX
State : AZ
Zip : 85041-6574
Country : US
Telephone Number : 602-507-6580
Fax Number : 602-507-6582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2009
Last Update Date : 03/28/2012

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