Abdollahzadeh, Rassa

Abdollahzadeh, Rassa is an individual health care provider with primary practice located at 2571 S Val Vista Dr Ste 101 , Gilbert AZ 85295-6233. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Abdollahzadeh, Rassa can be contacted via phone (480) 597-5536.

Contact Information

Primary practice address
2571 S Val Vista Dr Ste 101 Gilbert AZ 85295-6233
Phone: (480) 597-5536
Fax: (480) 597-5624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 5471 Arizona

Profile Details

NPI number 1225074040
LBN Legal business name Abdollahzadeh, Rassa
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jan 13th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225074040 NPPES
Arizona Other 590291 AHCCCS PROVIDER ID NUMBER

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