Desert Rose Dentistry, LLC

NPI #1386887719 in Glendale, Arizona

Provider Information

NPI Number: 1386887719
Entity Type: Organization
Organization Name: Desert Rose Dentistry, LLC
Primary Specialty: Dentist
Enumeration Date: Apr 15, 2009
Last Updated: Apr 15, 2009

Practice Location

Address: 18001 N 79TH AVE
Address 2: A-8
City: Glendale
State: Arizona
ZIP Code: 85308-8388
Phone: (623) 878-8000

Authorized Official

Name: FAWNE E PRYOR
Title: MGR
Phone: (623) 582-3909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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