Most Relevant Information
Provider Data
| NPI Number: | 1003834839 |
| Provider Name: | LEILA HAKIMZADEH GHAFOURI D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 5102 |
Most Important Dates
| Enumeration Date: | 07/18/2006 |
| Last Updated: | 06/07/2016 |
Provider Practice Location
4131 N 32ND ST
SUITE 1
PHOENIX
AZ
850184763
Practice Location Phone/Fax
| Phone: | 6029560740 |
| Fax: | 6029560852 |
Provider Mailing Location
4131 N 32ND ST
SUITE 1
PHOENIX
AZ
850184763
Provider Mailing Phone/Fax
| Phone: | 6029560740 |
| Fax: | 6029560852 |