Dentistry at Maricopa, LLC

NPI #1578020988 in Maricopa, Arizona

Provider Information

NPI Number
1578020988
Entity Type
Organization
Organization Name
Dentistry at Maricopa, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 22, 2019
Last Updated
Feb 22, 2019

Practice Location

Address
20046 N. JOHN WAYNE PKWY
Address 2
STE 105
State
Arizona
ZIP Code
85139
Phone
(520) 316-6100

Authorized Official

Name
BECKY ONDA
Title
DIRECTOR OF CREDENTIALING
Phone
(480) 889-9457

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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