21152 Rittenhouse LLC
NPI #1609343680 in Queen Creek, Arizona
Provider Information
- NPI Number
- 1609343680
- Entity Type
- Organization
- Organization Name
- 21152 Rittenhouse LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 29, 2018
- Last Updated
- Oct 29, 2018
Practice Location
- Address
- 22717 S ELLSWORTH RD STE B102
- City
- Queen Creek
- State
- Arizona
- ZIP Code
- 85142-7575
- Phone
- (480) 888-9596
Authorized Official
- Name
- MATTHEW BAKER, DDS
- Title
- MEMBER
- Phone
- (480) 215-5133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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