Chandler Modern Dentistry And Orthodontics | |
2875 W Ray Rd Ste 16 Chandler AZ 85224-3619 | |
(480) 792-1543 | |
(480) 792-1544 |
Full Name | Chandler Modern Dentistry And Orthodontics |
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Speciality | Dentist - General Practice |
Location | 2875 W Ray Rd Ste 16, Chandler, Arizona |
Authorized Official Name and Position | Tyson M Jolley (OWNER) |
Authorized Official Contact | 4807921543 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chandler Modern Dentistry And Orthodontics Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Chandler Modern Dentistry And Orthodontics 2875 W Ray Rd Ste 16 Chandler AZ 85224-3619 Ph: (480) 792-1543 |
NPI Number | 1700222916 |
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Provider Enumeration Date | 05/14/2013 |
Last Update Date | 04/13/2022 |
Identifier | Type | State | Issuer |
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1700222916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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