Dr Dana 11050 LLC
NPI #1861130858 in Fountain Hills, Arizona
Provider Information
- NPI Number
- 1861130858
- Entity Type
- Organization
- Organization Name
- Dr Dana 11050 LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 20, 2022
- Last Updated
- May 20, 2022
Practice Location
- Address
- 11050 N SAGUARO BLVD STE 101
- City
- Fountain Hills
- State
- Arizona
- ZIP Code
- 85268-5551
- Phone
- (480) 837-1315
Authorized Official
- Name
- VICENTA REYES
- Title
- LEAD OF CREDENTIALING
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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