Birch Tree Pediatric Dentistry Pllc | |
22363 E Domingo Rd Ste 104 Queen Creek AZ 85142-0353 | |
(480) 896-7800 | |
Not Available |
Full Name | Birch Tree Pediatric Dentistry Pllc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 22363 E Domingo Rd Ste 104, Queen Creek, Arizona |
Authorized Official Name and Position | Joseph Creech (DOCTOR/OWNER) |
Authorized Official Contact | 4808967800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Birch Tree Pediatric Dentistry Pllc 22363 E Domingo Rd Ste 104 Queen Creek AZ 85142-0353 Ph: (480) 896-7800 | Birch Tree Pediatric Dentistry Pllc 22363 E Domingo Rd Ste 104 Queen Creek AZ 85142-0353 Ph: (480) 896-7800 |
NPI Number | 1255198388 |
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Provider Enumeration Date | 03/05/2024 |
Last Update Date | 03/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255198388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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