Maricopa Dental Center LLC

NPI #1992427538 in Maricopa, Arizona

Provider Information

NPI Number: 1992427538
Entity Type: Organization
Organization Name: Maricopa Dental Center LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Sep 12, 2022
Last Updated: Sep 12, 2022

Practice Location

Address: 21300 N JOHN WAYNE PKWY STE 128
City: Maricopa
State: Arizona
ZIP Code: 85139-8978
Phone: (520) 568-5959

Authorized Official

Name: TERA NIEDENS
Title: ACCOUNTANT
Phone: (623) 289-2616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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