| Az Dental, Inc | |
|
515 N 35th Ave Ste 122 Phoenix AZ 85009-3339 | |
| (602) 455-0505 | |
| Not Available |
| Full Name | Az Dental, Inc |
|---|---|
| Speciality | Dentist |
| Location | 515 N 35th Ave Ste 122, Phoenix, Arizona |
| Authorized Official Name and Position | Brian Ngoc Tong (CEO AND OWNER) |
| Authorized Official Contact | 6024550505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Dental, Inc 515 N 35th Ave Ste 122 Phoenix AZ 85009-3339 Ph: (602) 455-0505 | Az Dental, Inc 515 N 35th Ave Ste 122 Phoenix AZ 85009-3339 Ph: (602) 455-0505 |
| NPI Number | 1740614189 |
|---|---|
| Provider Enumeration Date | 08/21/2013 |
| Last Update Date | 08/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740614189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D6451 (Arizona) | Primary |
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