San Tan Pediatric Dental
NPI #1265625552 in Queen Creek, Arizona
Provider Information
- NPI Number
- 1265625552
- Entity Type
- Organization
- Organization Name
- San Tan Pediatric Dental
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Aug 21, 2007
- Last Updated
- Oct 9, 2008
Practice Location
- Address
- 2510 E HUNT HWY
- Address 2
- SUITE #29
- City
- Queen Creek
- State
- Arizona
- ZIP Code
- 85243-5206
- Phone
- (480) 457-1693
Authorized Official
- Name
- DR. STEPHEN J MONTOYA, D.D.S.
- Title
- OWNER
- Phone
- (480) 457-1693
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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