Dental Depot of Surprise, Pllc

NPI #1912538497 in Surprise, Arizona

Provider Information

NPI Number
1912538497
Entity Type
Organization
Organization Name
Dental Depot of Surprise, Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Feb 3, 2020
Last Updated
Jun 13, 2025

Practice Location

Address
13828 W. GREENWAY RD.
State
Arizona
ZIP Code
85374
Phone
(623) 562-9123

Authorized Official

Name
GLENN A ASHMORE
Title
OWNER / CEO
Phone
(405) 945-8941

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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