| A Tender Dental Care V Llc | |
|
25355 N Lake Pleasant Pkwy Unit 103 Peoria AZ 85383-1504 | |
| (480) 824-8165 | |
| Not Available |
| Full Name | A Tender Dental Care V Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 25355 N Lake Pleasant Pkwy Unit 103, Peoria, Arizona |
| Authorized Official Name and Position | Jason A Wang (OFFICE MANAGER) |
| Authorized Official Contact | 4808248165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Tender Dental Care V Llc 25355 N Lake Pleasant Pkwy Unit 103 Peoria AZ 85383-1504 Ph: (480) 824-8165 | A Tender Dental Care V Llc 25355 N Lake Pleasant Pkwy Unit 103 Peoria AZ 85383-1504 Ph: (480) 824-8165 |
| NPI Number | 1598262917 |
|---|---|
| Provider Enumeration Date | 04/11/2018 |
| Last Update Date | 04/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598262917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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