JAMAL - ATALLA , M.D. in PHOENIX - NPI - 1609861566
JAMAL ATALLA is a dentist based out of GLENDALE,Arizona JAMAL practices in PHOENIX,Arizona and has the professional credentials of M.D. .The NPI Number for JAMAL ATALLA is 1609861566 and he holds a Licence No. 35493(Arizona).
JAMAL current practice location address is 6622 N 91ST AVE,STE 220,GLENDALE,Arizona and he can be reached out via phone at 6022009711 and via fax at6022009712. You can also correspond with JAMAL ATALLA through mail at his mailing address at5040 N 15TH AVE,SUITE 107,PHOENIX,Arizona – 850153328 (mailing address contact number – 853052569).
Provider Profile Details
NPI Number | 1609861566 |
Provider Name | JAMAL ATALLA |
M.D. | |
Gender | 43277 |
Provider Entity Type | Individual |
Provider Enumeration Date | 207RN0300X |
Last Update Date | 38611 |
Provider Business Mailing Address Details
Address | 6622 N 91ST AVE,STE 220 |
City | GLENDALE |
State | Arizona |
Zip | 853052569 |
Phone Number | 6027596883 |
Provider Business Practice Location Address Details
Address | 5040 N 15TH AVE,SUITE 107 |
City | PHOENIX |
State | Arizona |
Zip | 850153328 |
Phone Number | 6022009711 |
Provider's Primary Taxonomy Details
Taxonomy | 207RN0300X |
License No. | 35493 |
State | Arizona |