Bellroad Dentistry LLC

NPI #1245833441 in Surprise, Arizona

Provider Information

NPI Number
1245833441
Entity Type
Organization
Organization Name
Bellroad Dentistry LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Nov 19, 2020
Last Updated
Nov 19, 2020

Practice Location

Address
17061 N AVENUE OF THE ARTS STE 101
State
Arizona
ZIP Code
85378-6996
Phone
(623) 246-5025

Authorized Official

Name
TERA GOOLSBY
Title
ACCOUNTANT
Phone
(623) 289-2616

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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