| Az Specialty Dental Services, Llc | |
|
10006 W Happy Valley Pkwy Ste 12 Peoria AZ 85383-1235 | |
| (623) 486-3377 | |
| Not Available |
| Full Name | Az Specialty Dental Services, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 10006 W Happy Valley Pkwy Ste 12, Peoria, Arizona |
| Authorized Official Name and Position | Charlotte V Dasch (DIRECTOR OF CRED AND PROV REL) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Specialty Dental Services, Llc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Az Specialty Dental Services, Llc 10006 W Happy Valley Pkwy Ste 12 Peoria AZ 85383-1235 Ph: (623) 486-3377 |
| NPI Number | 1053136663 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 11/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053136663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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