| Chandental Pllc | |
|
4427 S Rural Rd Ste 2 Tempe AZ 85282-7061 | |
| (480) 897-2274 | |
| Not Available |
| Full Name | Chandental Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4427 S Rural Rd Ste 2, Tempe, Arizona |
| Authorized Official Name and Position | Jeremy Chan (OWNER) |
| Authorized Official Contact | 6024489443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chandental Pllc 4427 S Rural Rd Ste 2 Tempe AZ 85282-7061 Ph: (480) 897-2274 | Chandental Pllc 4427 S Rural Rd Ste 2 Tempe AZ 85282-7061 Ph: (480) 897-2274 |
| NPI Number | 1740800614 |
|---|---|
| Provider Enumeration Date | 04/21/2020 |
| Last Update Date | 04/21/2020 |
| Medicare PECOS PAC ID | 4385088228 |
|---|---|
| Medicare Enrollment ID | O20240219001924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740800614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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