75th Avenue Dentistry, INC

NPI #1538284971 in Peoria, Arizona

Provider Information

NPI Number: 1538284971
Entity Type: Organization
Organization Name: 75th Avenue Dentistry, INC
Primary Specialty: Dentist
Enumeration Date: Mar 21, 2007
Last Updated: Mar 18, 2009

Practice Location

Address: 7545 W. BELL RD
Address 2: SUITE 105
City: Peoria
State: Arizona
ZIP Code: 85382-4764
Phone: (623) 412-2461

Authorized Official

Name: TAROLL ANN GRAZIANO
Title: MANAGER
Phone: (623) 225-6555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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