ENTICARE PC
Medical Practice at Mercy Rd, Gilbert, AZ

License number
Arizona 4520
Category
Medical Practice
Type
Plastic Surgery within the Head & Neck
Owner
Name: DR. HOMAN MOSTAFAVI D.O.
Title: PHYSICIANOWNER
Phone: (480) 214-9000
Address
Address
3420 S Mercy Rd STE 107, Gilbert, AZ 85297
National Provider ID: 1710014410
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ENTICARE PC

Suite 10 SUITE 107, Gilbert, AZ 85297

Registration:
Jan 23, 2007
State ID:
-1340211-0
Expiration:
PERPETUAL
Chairman:
Homan Mostafavi (Chairman), 3420 S Mercy Rd #107, Gilbert, AZ 85297 (Physical)
Business type:
HEALTH CARE

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