Az Specialty Dental Services, LLC

NPI #1447090279 in Maricopa, Arizona

Provider Information

NPI Number
1447090279
Entity Type
Organization
Organization Name
Az Specialty Dental Services, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
AZ SPECIALTY DENTAL SERVICES, LLC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
May 29, 2024
Last Updated
May 29, 2024

Practice Location

Address
21300 N JOHN WAYNE PKWY STE 117
State
Arizona
ZIP Code
85139-8978
Phone
(520) 316-6111

Authorized Official

Name
CHARLOTTE DASCH
Title
DIREC OF CRED AND PR
Phone
(504) 638-0303

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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