Uptown Pediatric Dental Group, Pllc

NPI #1003458688 in Phoenix, Arizona

Provider Information

NPI Number: 1003458688
Entity Type: Organization
Organization Name: Uptown Pediatric Dental Group, Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 15, 2019
Last Updated: Oct 15, 2019

Practice Location

Address: 1515 E MISSOURI AVE STE 103
City: Phoenix
State: Arizona
ZIP Code: 85014-2443
Phone: (602) 279-2981

Authorized Official

Name: ERNEST NEHRER, DDS
Title: OWNER DOCTOR
Phone: (831) 234-5526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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