| Bell Park Dental Llc | |
|
17037 N 43rd Ave Ste A4 Glendale AZ 85308-4026 | |
| (602) 896-9688 | |
| (602) 896-9633 |
| Full Name | Bell Park Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17037 N 43rd Ave Ste A4, Glendale, Arizona |
| Authorized Official Name and Position | Holly Botshekan (DENTIST) |
| Authorized Official Contact | 6028969688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bell Park Dental Llc 17037 N 43rd Ave Ste A4 Glendale AZ 85308-4026 Ph: (602) 896-9688 | Bell Park Dental Llc 17037 N 43rd Ave Ste A4 Glendale AZ 85308-4026 Ph: (602) 896-9688 |
| NPI Number | 1457474926 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457474926 | NPI | - | NPPES |
| 408527 | Other | AZ | HOLLY BOTSHEKAN AHCCCS |
| 357980 | Other | AZ | RAMIN DAMADZADEH AHCCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4397 (Arizona) | Primary |
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