East Dentistry LLC

NPI #1134278583 in Peoria, Arizona

Provider Information

NPI Number
1134278583
Entity Type
Organization
Organization Name
East Dentistry LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 8, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
13660 N 94TH DR #B 1
City
Peoria
State
Arizona
ZIP Code
85381
Phone
(623) 977-2551

Authorized Official

Name
TAROLL ANN GRAZIANO
Title
MANAGER
Phone
(623) 977-2551

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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