Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 5488 | AZ |
NPI | 1063586246 |
---|---|
Provider Name | Roya Zojaji |
First Address | Scottsdale, AZ 85260-6251 |
Second Address | Scottsdale, AZ 85260-6251 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 29/01/2019 |