| 75th Avenue Dentistry | |
|
7545 W Bell Rd #105 Peoria AZ 85382-3832 | |
| (623) 412-2461 | |
| (623) 979-7364 |
| Full Name | 75th Avenue Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 7545 W Bell Rd, Peoria, Arizona |
| Authorized Official Name and Position | Fawne E Pryor (INSURANCE MANAGER) |
| Authorized Official Contact | 6235823902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 75th Avenue Dentistry 7545 W Bell Rd #105 Peoria AZ 85382-3832 Ph: (623) 412-2461 | 75th Avenue Dentistry 7545 W Bell Rd #105 Peoria AZ 85382-3832 Ph: (623) 412-2461 |
| NPI Number | 1528204591 |
|---|---|
| Provider Enumeration Date | 12/22/2008 |
| Last Update Date | 12/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528204591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D6772 (Arizona) | Primary |
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