Laveen Pediatric Dental Partners, LLP

NPI #1962850073 in Laveen, Arizona

Provider Information

NPI Number: 1962850073
Entity Type: Organization
Organization Name: Laveen Pediatric Dental Partners, LLP
Primary Specialty: Dentist
Enumeration Date: May 31, 2016
Last Updated: Jun 1, 2016

Practice Location

Address: 5235 W. BASELINE RD, STE 187
City: Laveen
State: Arizona
ZIP Code: 85339
Phone: (602) 883-8649

Authorized Official

Name: ERIC E ELLIS, DMD
Title: OWNER DOCTOR
Phone: (602) 883-8649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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