Bellavista Dentalcare Group | |
15715 S 46th St Ste 104 Phoenix AZ 85048-0439 | |
(602) 300-5409 | |
Not Available |
Full Name | Bellavista Dentalcare Group |
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Speciality | Clinic/center - Dental |
Location | 15715 S 46th St Ste 104, Phoenix, Arizona |
Authorized Official Name and Position | Rashmi Bhatnagar (MANAGER) |
Authorized Official Contact | 6023005409 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bellavista Dentalcare Group 4455 East Paradise Village Pkwy. South, Unit 1060 Phoenix AZ 85032 Ph: (602) 300-5409 | Bellavista Dentalcare Group 15715 S 46th St Ste 104 Phoenix AZ 85048-0439 Ph: (602) 300-5409 |
NPI Number | 1265623813 |
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Provider Enumeration Date | 08/08/2007 |
Last Update Date | 08/08/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265623813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D7198 (Arizona) | Primary |
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