Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | D009807 | AZ |
NPI | 1013359603 |
---|---|
Provider Name | Dr. Joseph Sadykov |
First Address | Phoenix, AZ 85032-2798 |
Second Address | Scottsdale, AZ 85260-1321 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2013 |
Last Update Date | 09/05/2018 |