National Provider Identifier Database

ENTICARE PC
Plastic Surgery within the Head & Neck

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.


Contact Information

ENTICARE PC
17215 N 72ND DR BLDG D
GLENDALE, AZ85308-8558
Phone: 480-214-9000
Fax: 480-214-9999
Website:
Specialty Taxonomy Code
* Plastic Surgery within the Head & Neck 207YX0007X

* Indicates primary specialty

NPI Profile & details for ENTICARE PC

NPI Number 1821853300
Legal business name
LBN
ENTICARE PC
Authorized official HOMAN MOSTAFAVI - (MEMBER MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/14/2024
Last updated 02/14/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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