Surprise Pediatric Dentistry, PC

NPI #1114462330 in Surprise, Arizona

Provider Information

NPI Number
1114462330
Entity Type
Organization
Organization Name
Surprise Pediatric Dentistry, PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 23, 2016
Last Updated
Dec 23, 2016

Practice Location

Address
15331 W BELL RD
Address 2
SUITE #112
State
Arizona
ZIP Code
85374-4102
Phone
(602) 730-6481

Authorized Official

Name
DR. MATHEW O JENSEN, DMD
Title
DENTIST/OWNER
Phone
(801) 656-7978

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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