Provider Demographics
NPI:1902976632
Name:ASRARI ENDODONTICS LLC
Entity Type:Organization
Organization Name:ASRARI ENDODONTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHSHID
Authorized Official - Middle Name:
Authorized Official - Last Name:ASRARI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:480-855-8800
Mailing Address - Street 1:3303 S LINDSAY RD
Mailing Address - Street 2:SUITE #106
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296
Mailing Address - Country:US
Mailing Address - Phone:480-855-8800
Mailing Address - Fax:480-855-8802
Practice Address - Street 1:3303 S LINDSAY RD
Practice Address - Street 2:SUITE #106
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296
Practice Address - Country:US
Practice Address - Phone:480-855-8800
Practice Address - Fax:480-855-8802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD61581223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty