| 43rd Northern Dental, Llc | |
|
7777 N 43rd Ave Phoenix AZ 85051-5712 | |
| (623) 937-0267 | |
| Not Available |
| Full Name | 43rd Northern Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7777 N 43rd Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Abrahim Setoodeh (DENTIST/OWNER) |
| Authorized Official Contact | 6238775700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 43rd Northern Dental, Llc 7777 N 43rd Ave Phoenix AZ 85051-5712 Ph: (623) 937-0267 | 43rd Northern Dental, Llc 7777 N 43rd Ave Phoenix AZ 85051-5712 Ph: (623) 937-0267 |
| NPI Number | 1366189706 |
|---|---|
| Provider Enumeration Date | 05/17/2022 |
| Last Update Date | 05/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366189706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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