| Chandler Implants & Periodontics, Llc | |
|
800 W Chandler Blvd Ste 1 Chandler AZ 85225-2508 | |
| (480) 899-6407 | |
| (480) 899-2644 |
| Full Name | Chandler Implants & Periodontics, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 800 W Chandler Blvd Ste 1, Chandler, Arizona |
| Authorized Official Name and Position | Jonathan Ryan Peterson (OWNER) |
| Authorized Official Contact | 4808996407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chandler Implants & Periodontics, Llc 800 W Chandler Blvd Ste 1 Chandler AZ 85225-2508 Ph: (480) 899-6407 | Chandler Implants & Periodontics, Llc 800 W Chandler Blvd Ste 1 Chandler AZ 85225-2508 Ph: (480) 899-6407 |
| NPI Number | 1699013201 |
|---|---|
| Provider Enumeration Date | 01/17/2013 |
| Last Update Date | 01/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699013201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D7899 (Arizona) | Primary |
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