Az Specialty Dental Services, LLC

NPI #1053177410 in Chandler, Arizona

Provider Information

NPI Number
1053177410
Entity Type
Organization
Organization Name
Az Specialty Dental Services, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
AZ SPECIALTY DENTAL SERVICES, LLC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Feb 23, 2024
Last Updated
Feb 23, 2024

Practice Location

Address
803 W ELLIOT RD
State
Arizona
ZIP Code
85225-1885
Phone
(480) 963-1355

Authorized Official

Name
CHARLOTTE DASCH
Title
DIREC OF CRED AND PROV REL
Phone
(504) 638-0303

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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