Provider Demographics
NPI:1124435409
Name:EL-HILLAL, NADIA (DMD)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:EL-HILLAL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 E 5TH ST UNIT 1609
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-5156
Mailing Address - Country:US
Mailing Address - Phone:412-607-5951
Mailing Address - Fax:
Practice Address - Street 1:2620 S 83RD AVE STE 104
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85043-7203
Practice Address - Country:US
Practice Address - Phone:412-607-5951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9021122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist