Lake Pleasant Dentistry PC

NPI #1093172561 in Peoria, Arizona

Provider Information

NPI Number: 1093172561
Entity Type: Organization
Organization Name: Lake Pleasant Dentistry PC
Primary Specialty: Dentist
Enumeration Date: Jan 28, 2016
Last Updated: Jan 28, 2016

Practice Location

Address: 9059 W LAKE PLEASANT PKWY
Address 2: STE F 600
City: Peoria
State: Arizona
ZIP Code: 85382-8336
Phone: (623) 825-5595

Authorized Official

Name: SHARON BADER
Title: OWNER
Phone: (623) 825-5595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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