Surprise Modern Dentistry LLP

NPI #1376200261 in Surprise, Arizona

Provider Information

NPI Number: 1376200261
Entity Type: Organization
Organization Name: Surprise Modern Dentistry LLP
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 26, 2021
Last Updated: Nov 26, 2021

Practice Location

Address: 13733 N PRASADA PKWY STE 108
City: Surprise
State: Arizona
ZIP Code: 85388-8007
Phone: (623) 777-3329

Authorized Official

Name: JOSHUA J SHAW, DMD
Title: OWNER
Phone: (623) 777-3329

Specialties & Taxonomy Codes

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

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