| 51st Dmso Llc | |
|
20325 N 51st Ave Ste 162 Glendale AZ 85308-4624 | |
| (623) 303-0044 | |
| Not Available |
| Full Name | 51st Dmso Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20325 N 51st Ave Ste 162, Glendale, Arizona |
| Authorized Official Name and Position | Andrea Frost (BUSINESS MANAGER) |
| Authorized Official Contact | 7027710015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 51st Dmso Llc 2735 S Alma School Rd Ste 1 Chandler AZ 85286-4404 Ph: (702) 525-4500 | 51st Dmso Llc 20325 N 51st Ave Ste 162 Glendale AZ 85308-4624 Ph: (623) 303-0044 |
| NPI Number | 1598506768 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598506768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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