Promenade Dental Pllc

NPI #1922330141 in Chandler, Arizona

Provider Information

NPI Number: 1922330141
Entity Type: Organization
Organization Name: Promenade Dental Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: NEWPORT DENTAL LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 13, 2010
Last Updated: Feb 13, 2010

Practice Location

Address: 4905 S ALMA SCHOOL RD STE 1
City: Chandler
State: Arizona
ZIP Code: 85248-5503
Phone: (480) 802-8188

Authorized Official

Name: JAMES MICHAEL WEI, D.D.S.
Title: MEMBER
Phone: (480) 802-8188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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