| Age Defying Dentistry | |
|
21321 East Ocotillo Rd Bldg M, Ste 130 Queen Creek AZ 85142 | |
| (480) 840-9200 | |
| Not Available |
| Full Name | Age Defying Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 21321 East Ocotillo Rd Bldg M, Ste 130, Queen Creek, Arizona |
| Authorized Official Name and Position | David J Velasco (MANAGER) |
| Authorized Official Contact | 4808409200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Age Defying Dentistry 21321 East Ocotillo Rd Bldg M, Ste 130 Queen Creek AZ 85142 Ph: (480) 840-9200 | Age Defying Dentistry 21321 East Ocotillo Rd Bldg M, Ste 130 Queen Creek AZ 85142 Ph: (480) 840-9200 |
| NPI Number | 1962721001 |
|---|---|
| Provider Enumeration Date | 05/28/2010 |
| Last Update Date | 05/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962721001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | AZ4044 (Arizona) | Primary |
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