Arizona Dental Professionals, P.c.

NPI #1154938678 in Surprise, Arizona

Provider Information

NPI Number: 1154938678
Entity Type: Organization
Organization Name: Arizona Dental Professionals, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: ARIZONA DENTAL PROFESSIONALS, P.C.
Primary Specialty: Dentist
Enumeration Date: Sep 29, 2020
Last Updated: Sep 29, 2020

Practice Location

Address: 14815 W BELL RD STE 202
City: Surprise
State: Arizona
ZIP Code: 85374-7611
Phone: (623) 547-5400

Authorized Official

Name: TABATHA LEMKE
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-6078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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