Plaza Del Rio Dentistry, LLC

NPI #1134359425 in Peoria, Arizona

Provider Information

NPI Number: 1134359425
Entity Type: Organization
Organization Name: Plaza Del Rio Dentistry, LLC
Primary Specialty: Dentist
Enumeration Date: Jul 21, 2009
Last Updated: Jul 21, 2009

Practice Location

Address: 13660 N 94TH DR
Address 2: SUITE B1
City: Peoria
State: Arizona
ZIP Code: 85381-4836
Phone: (623) 977-2551

Authorized Official

Name: FAWNE E PRYOR
Title: INS MGR
Phone: (623) 977-2551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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