Ultra Dental Peoria LLC

NPI #1336835222 in Peoria, Arizona

Provider Information

NPI Number: 1336835222
Entity Type: Organization
Organization Name: Ultra Dental Peoria LLC
Primary Specialty: Dentist
Enumeration Date: Apr 13, 2023
Last Updated: Apr 13, 2023

Practice Location

Address: 8345 W THUNDERBIRD RD STE B100
City: Peoria
State: Arizona
ZIP Code: 85381-3668
Phone: (602) 943-3700

Authorized Official

Name: DR. BOBBY YASSO, DMD
Title: GENERAL DENTIST
Phone: (248) 705-8334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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