Western Dental of Arizona, Inc.

NPI #1346501079 in Tempe, Arizona

Provider Information

NPI Number: 1346501079
Entity Type: Organization
Organization Name: Western Dental of Arizona, Inc.
Primary Specialty: Dentist
Enumeration Date: May 29, 2012
Last Updated: May 29, 2012

Practice Location

Address: 1080 W ELLIOT RD
City: Tempe
State: Arizona
ZIP Code: 85284-1111
Phone: (480) 845-6625

Authorized Official

Name: SILVIA DIAZ
Title: PPO COORDINATOR
Phone: (714) 480-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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