Plaza Waterfront Dental
NPI #1770052037 in Fountain Hills, Arizona
Provider Information
- NPI Number
- 1770052037
- Entity Type
- Organization
- Organization Name
- Plaza Waterfront Dental
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Nov 16, 2018
- Last Updated
- Nov 16, 2018
Practice Location
- Address
- 12625 N SAGUARO BLVD STE 108
- City
- Fountain Hills
- State
- Arizona
- ZIP Code
- 85268-4184
- Phone
- (480) 837-8100
Authorized Official
- Name
- DR. JEFFREY GREENE III, DDS
- Title
- OWNER
- Phone
- (480) 837-8100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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