Brenda Taege, Dds, Llc | |
8416 E Shea Blvd Suite C100 Scottsdale AZ 85260-6666 | |
(480) 860-6744 | |
(480) 860-8777 |
Full Name | Brenda Taege, Dds, Llc |
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Speciality | Dentist - General Practice |
Location | 8416 E Shea Blvd, Scottsdale, Arizona |
Authorized Official Name and Position | Brenda Taege (MANAGING MEMBER) |
Authorized Official Contact | 4808606744 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brenda Taege, Dds, Llc 8416 E Shea Blvd Suite C100 Scottsdale AZ 85260-6666 Ph: (480) 860-6744 | Brenda Taege, Dds, Llc 8416 E Shea Blvd Suite C100 Scottsdale AZ 85260-6666 Ph: (480) 860-6744 |
NPI Number | 1952514572 |
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Provider Enumeration Date | 05/08/2007 |
Last Update Date | 10/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952514572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D5941 (Arizona) | Primary |
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